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The governance and management of effective community health partnerships: A typology for research, policy, and practice

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MILBANK QUARTERLY 2000年第2期78卷 241-+页

作者： Mitchell, SM Shortell, SM Univ Calif Berkeley Sch Publ Hlth Div Hlth Policy & Management Berkeley CA 94720 USA

Community health partnerships (CHPs) are voluntary collaborations of diverse community organizations that have joined forces in order co pursue a shared interest in improving community health. Although these cross-sectoral collaborations represent a way to address social determinants of health and disease in society, they suffer from governance and management problems associated with interorganizational relationships in general and health care challenges specifically. A typology of effective governance and management characteristics provides a systematic, theoretically based way of addressing dimensions of governance and management and serves as a guide in constructing, maintaining, and measuring successful partnerships. It offers a multidisciplinary perspective for classifying important organizational issues, identifying barriers to successful development and sustainability, and facilitating the attainment of goals.

关键词：社区卫生计划/组织和管理社区网络/组织和管理卫生政策机构间关系组织目标研究美国人类

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The changing landscape of health care financing and delivery: How are rural communities and providers responding?

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MILBANK QUARTERLY 1999年第4期77卷 485-+页

作者： Mueller, KJ Coburn, A Cordes, S Univ Nebraska Med Ctr Nebraska Med Ctr 984350 Coll Med Omaha NE 68198 USA Univ So Maine Portland ME 04103 USA Univ Washington Seattle WA 98195 USA Univ N Dakota Grand Forks ND 58201 USA Univ Missouri Columbia MO 65211 USA US Dept Hlth & Human Serv Washington DC 20201 USA

Rural communities have not kept pace with the recent dramatic changes in health care financing and organization. However, the Medicare provisions in the Balanced Budget Act of 1997 will require rural providers to participate in the new systems. Case studies revealed the degree of readiness for change in six rural communities and charted their progress along a continuum, as reflected in three sets of activities: the development of networking;the creation of new strategies for managing patient care;and the adoption of new methods for contracting with health insurers. Some communities had constructed highly integrated systems, whereas others were just beginning to change their billing practices;a few were signing contracts fbr capitated fare, in contrast to those that were resisting discounts in current fee structures. These six rural areas still have considerable ground to cover before their health fare organization and financing reach the levels achieved by urban communities.

关键词：社区网络/经济学社区网络/组织和管理病人医护连续性/组织和管理合同业务财务管理/组织和管理卫生保健部门卫生服务研究医院乡村/经济学医院乡村/组织和管理医院乡村/发展趋势保险健康补偿管理医疗规划/组织和管理 Medicare/组织和管理明尼苏达纽约俄克拉何马组织状况研究组织改革乡村卫生服务/经济学乡村卫生服务/组织和管理乡村卫生服务/发展趋势南卡罗来纳田纳西美国华盛顿老年人人类

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Measuring community mobilization in the Seattle Minority Youth Health Project

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EVALUATION REVIEW 1998年第6期22卷 699-716页

作者： Cheadle, A Wagner, E Anderman, C Walls, M McBride, C Bell, MA Catalano, RF Pettigrew, E Univ Washington Sch Publ Hlth Dept Hlth Serv Seattle WA 98195 USA Grp Hlth Cooperat Puget Sound Ctr Hlth Studies MacColl Inst Healthcare Innovat Seattle WA 98121 USA Univ Washington Sch Publ Hlth Dept Epidemiol Seattle WA 98195 USA Univ Washington Ctr Hlth Educ & Res Seattle WA 98195 USA Duke Univ Ctr Comprehens Canc Durham NC USA Univ Washington Sch Social Work Seattle WA 98195 USA Univ Washington Social Dev Res Grp Seattle WA 98195 USA

This article assesses the validity and reliability of the approach used to measure community mobilization in the Seattle Minority Youth Health Project(MY Health), a neighborhood-based-program to prevent drug use, violence, teen pregnancy, and sexually transmitted diseases (STDs). Two constructs were measured: neighborhood cooperation in solving problems, and sense of pride and identification with the neighborhood. The convergent validity of the measurement approach was assessed by comparing several independent measures of community mobilization generated from surveys of hey neighborhood leaders, youth and parents. For the neighborhood cooperation construct, correlations were uniformly positive across measures from different surveys and statistically significant about a quarter of the time. The correlations for the neighborhood pride construct were weaker and generally not statistically significant. Interrater reliability was low for all of the surveys, possibly reflecting varying ideas about what community mobilization meant among survey respondents.

关键词：青少年保健服务/组织和管理社区卫生服务/组织和管理社区网络/组织和管理社区和机构的关系健康促进/组织和管理健康调查少数民族方案评价问卷调查可重复性结果样本大小市区人口华盛顿青少年成年人女(雌)性人类男(雄)性妊娠

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Mobilising business through "partnerships for health promotion". New challenges and new opportunities.

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Promotion & education 1999年第1期6卷 21-24,37页

作者： Davies, R. The Prince of Wales Business Leaders Forum 15-16 Cornwall Terrace Regent's Park London NW14QP United Kingdom robert.davies @ ***

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Family therapists, community, and civic renewal

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FAMILY PROCESS 2000年第2期39卷 149-161页

作者： Doherty, WJ Beaton, JM Univ Minnesota Dept Family Social Sci St Paul MN 55108 USA

In this article, rue review family therapy's history regarding community concerns and broader societal issues;offer a model of levels of therapists' involvement with communities and community systems;and propose that family therapists join the citizen activation movement by becoming catalytic partners with families in communities. We call for a new Kind of community practice that is driven less by therapist-defined problems and professional expertise, and more by community-defined problems and families' own expertise.

关键词：社区网络/组织和管理家庭心理疗法/组织和管理职业间关系规划制订方案评价美国女(雌)性人类男(雄)性

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AHCPR-funded rural managed care centers: Report from the field

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JOURNAL OF RURAL HEALTH 1999年第1期15卷 87-93页

作者： Hartley, D Jackson, J Mueller, KJ Nichols, A Williams, V Univ So Maine Edmund S Muskie Sch Publ Serv Div Rural Hlth Portland ME 04104 USA

In 1994, the Agency for Health Care Policy and Research awarded cooperative agreements to five University-based groups to promote the establishment of managed care Institutions and development of rural health networks. This paper summarizes the experiences of these rural managed care centers in the first three years of this initiative. Key ingredients for achieving the project's goals that are identified by the project directors are reported as "foundations" that must be in place from the outset, or "building blocks" that can be developed along the way. The development of information systems and efforts to foster leadership in the medical community are areas in which grant funding of this type can be most effective.

关键词：社区网络/组织和管理卫生计划资助/组织和管理卫生服务研究领导管理医疗规划/组织和管理方案评价乡村卫生服务/组织和管理美国美国卫生保健研究和质量评估署人类

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An application of theory-driven evaluation to a drop-in youth center

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EVALUATION REVIEW 2000年第1期24卷 73-91页

作者： Mercier, C Piat, M Peladeau, N Dagenais, C McGill Univ Dept Psychiat Montreal PQ H3A 2T5 Canada Univ Quebec Montreal PQ H3C 3P8 Canada

This article reports on the theory-driven evaluation of a drop-in center for youth that incorporated a literature search, concept mapping with staff and focus groups with youth. Findings revealed strong agreement among the three sources of data around specific elements identified as critical components of a program theory of global prevention in after-school-hours initiatives, such as drop-in centers. These results are used to illustrate how a theory-driven approach was relevant for the context and objectives of this evaluation, as well as how it was used to develop knowledge useful for action, social intervention theory and further research.

关键词：儿童保健服务/组织和管理社区网络/组织和管理方案评价社会工作/组织和管理儿童人类

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Providing birthing services in rural health networks: Coping with change in New York state

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JOURNAL OF RURAL HEALTH 1996年第2期12卷 137-145页

作者： Rosenthal, TC Ferrara, E Hesler, E SUNY BUFFALO DEPT FAMILY MED NEW YORK RURAL HLTH RES CTR 462 GRIDER ST BUFFALO NY 14215 USA

Making prenatal and birthing services accessible in rural communities no longer able to support a local full-service hospital and the introduction of managed care cost control has led to consideration of alternative models. One such model, the freestanding birth center located in an isolated rural community, challenges the guidelines of several state and professional organizations directed at assuring adequate emergency response, including cesarean sections. An extensive review of freestanding birth centers and their effect on birth outcomes revealed little outcomes data about birth centers distant from full-service hospitals. Most states have modeled their birth center regulations on recommendations from the National Association of Childbearing Centers, but others, such as New York, have more rigidly defined transport parameters that exclude many rural locations. A concensus panel convened by the New York State Rural Health Council concluded that demonstrations projects featuring a rural birthing center further than 20 minutes from a full-service hospital an operated within a networked rural health system should be developed. Consumers would need to be fully informed about the implications of their choice of birth services and all qualified providers, including midwives, should be included in a team approach to care giving.

关键词：产院/组织和管理产院/利用社区网络/组织和管理卫生服务易得程度模型组织管理纽约产科学组织改革试点项目妊娠结局产前保健/组织和管理乡村卫生服务/组织和管理乡村卫生服务/利用旅行女(雌)性人类妊娠

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Mutual accountability in partnerships: health agencies and community groups.

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Promotion & education 1999年第1期6卷 3-8,36页

作者： Labonte, R. Communitas Consulting Kingston Ontario Canada

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Evaluation issues and strategies for community-based organizations developing women's HIV prevention programs

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EVALUATION & THE HEALTH PROFESSIONS 1997年第4期20卷 428-454页

作者： OConnell, AA Bol, L Langley, SC COLUMBIA UNIV NEW YORK NY 10027 USA

This article discusses issues and strategies for program evaluation particularly useful for community-bared organizations (CBOs) involved in the development and implementation of HN prevention programs for women. The approach the authors present is an extension of a traditional public health paradigm suggested for use in the development and evaluation of violence prevention programs. This study incorporates Becker's Health Belief Model, which provides a framework for viewing the influence of various psychosocial variables on health-related behavior;into this development and evaluation paradigm Factors influencing the successful development and evaluation of HN prevention programs for women are reviewed and discussed. The purpose of this article is to provide some guidance to CBOs to strengthen their evaluation strategies and to encourage their use of evaluation during all phases of program development and implementation.

关键词：社区网络/组织和管理 HIV感染/预防和控制健康行为预防卫生服务/组织和管理方案评价妇女卫生保健服务/组织和管理女(雌)性人类

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