Dissertations / Theses: 'Community Health'

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Phillips, Richard. "Community capacity building, community development and health : a case study of 'health issues in the community'." Thesis, University of Edinburgh, 2007. http://hdl.handle.net/1842/1515.

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This research project aimed to further knowledge regarding the relationship between community capacity building (CCB), community development and health within the context of the Health Issues in the Community (HIIC) programme. CCB refers to the development of capabilities to identify and address community issues and was conceptualised using four dimensions: participation, resource mobilisation, links with others and role of outside agents. HIIC is a learning resource supported by NHS Health Scotland, the national health promotion agency. The main objective of HIIC is to help students explore the processes involved in tackling health-related concerns in the community. The main concepts in this study were explored by referring to a range of academic literatures and five research questions were formulated. ‘How did HIIC tutors and students understand the concept of community and was this understanding influenced by completing HIIC?’, ‘How did stakeholders and tutors understand the notion of CCB?’, ‘Was CCB evident in the experiences of the students after their involvement with the course?’, ‘Did participating in the HIIC course contribute towards furthering students’ understanding about health?’ and ‘Did participating in HIIC have any other impact on participants?’ Face-to-face, semi-structured interviews were conducted across Scotland with three participant groups: stakeholders, tutors and students. This involved a total of thirtyfive interviews with students and tutors from eleven different courses. Interviews were transcribed and analysed using thematic analysis. Four key themes emerged: community, CCB, health, and impact of learning. Tutors and students suggested that people could be members of multiple communities. Community was understood as a geographical location, a common interest and as a sense of belonging. Tutors also considered the community as a site of professional practice. Some participants had an expectation that community members should act collectively to help one another. Completing HIIC appeared to influence students’ understanding about their own circumstances, issues within their community and how it functions, rather than informing how they defined the concept of community. CCB was seen by tutors as a process that develops competencies to address community issues. Stakeholders and tutors differed in their views about whether CCB was an individual level or a collective process. Participants likened CCB to community development, but stakeholders questioned if it shared the same value base or if it was an outcome of community development. Tutors expressed a range of opinions about their understanding of CCB. It was viewed as a potentially helpful idea in terms of understanding the work of community / health-based practitioners. However, others were unable to give a definition of CCB and some tutors considered CCB a concept with little meaning or an indicator to fulfil in the context of a funding application. The manifestation of individual aspects of CCB were identified in the accounts of some participants, but the data did not support the contention that HIIC promoted CCB, within the timescale of this study, although, it could be argued that latent CCB was developed. The data did indicate that participants’ understanding about the concept of health was reaffirmed, broadened or changed and that participating in HIIC could increase an individual’s awareness of social and health issues, develop interpersonal skills and widen social networks. This study indicated that by exploring the concepts of CCB, community and health, a contribution was made towards understanding the processes by which participating in a HIIC course influenced students to address health-related concerns.

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Guevarra, Crystle. "Fontana Community Health Assessment." Thesis, Western University of Health Sciences, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10112508.

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Obesity often arises from poor diet and lack of exercise. Food deserts, in particular, cause people to develop poor eating habits because of the limited healthy food options and availability to cheap fast food chains. People affected by food deserts are usually found in communities of color and low-income areas. The purpose of the study was to identify whether Fontana residents are willing to adopt healthier lifestyles based on the perceptions about their own health and the health of the community. Mixed method research was utilized for the study. The participants in the study included adult residents of both sexes and all ethnic backgrounds from the City of Fontana. Those participants ranged in ages from 18 and above. The data results proved some significance between Fontana residents' will to adopt healthier lifestyles and their perceptions on personal and community health. The bivariate correlation tests indicated a statistical significance between the tested variables despite their small correlations and large unshared variances. The ANOVA tests aided with proving the validity of the proposed hypotheses. Based on the data findings, the null hypothesis was rejected and alternative hypothesis was accepted. For future research on getting residents to be more proactive about their health and that of the community, shorter and simpler surveys were advised.

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Brennan, Eugene Phillip. "Oceano Community Health Plan." DigitalCommons@CalPoly, 2014. https://digitalcommons.calpoly.edu/theses/1276.

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ABSTRACT Oceano Community Health Plan Phillip Brennan Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the health of the community. Though the creation of a healthy general plan may be unattainable for the County in the short term, a focus on a small yet cohesive part of the county presents an opportunity to affect these changes. Under the direction of the SLO County Health Agency and the Health Commission, we have written Healthy Community Plans for the unincorporated communities of Cayucos and Oceano, California. Both of these plans were greatly informed by their respective communities through input garnered through outreach, interviews, surveys and personal interactions with community members. This project examines the relationship between the built environment and public health, and explores ways planning professionals are beginning to address health issues through infrastructure, land use, creative zoning, and planning strategies that promote health and active living in policy. The planning documents, modeled after health elements currently being included in general plans throughout California, have integrated the fields of planning and public health to provide Cayucos and Oceano an assessment of its residents’ health, a description of the current built environment conditions that may be helping or hindering physical activity and access to nutritious food sources, as well as establish goals, policies and implementation strategies that will set a course of action toward healthier communities. Key Words: planning, public health, physical activity, built environment, community, active transportation

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Franich, Jennifer Joyce. "Cayucos Community Health Plan." DigitalCommons@CalPoly, 2014. https://digitalcommons.calpoly.edu/theses/1249.

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Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the health of the community. Though the creation of a healthy general plan may be unattainable for the County in the short term, a focus on a small yet cohesive part of the county presents an opportunity to affect these changes. Under the direction of the SLO County Health Agency and the Health Commission, we have written Healthy Community Plans for the unincorporated communities of Cayucos and Oceano, California. Both of these plans were greatly informed by their respective communities through input garnered through outreach, interviews, surveys and personal interactions with community members. This project examines the relationship between the built environment and public health, and explores ways planning professionals are beginning to address health issues through infrastructure, land use, creative zoning, and planning strategies that promote health and active living in policy. The planning documents, modeled after health elements currently being included in general plans throughout California, have integrated the fields of planning and public health to provide Cayucos and Oceano an assessment of its residents’ health, a description of the current built environment conditions that may be helping or hindering physical activity and access to nutritious food sources, as well as establish goals, policies and implementation strategies that will set a course of action toward healthier communities.

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Taylor, Stuart James. "Community health indicators for Ontario public health units, an evaluation of the Ontario Community Health Profile." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0002/MQ46613.pdf.

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Molapo, Maletsabisa. "Designing with community health workers: feedback-integrated multimedia learning for rural community health." Doctoral thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/27977.

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Community Health Workers (CHWs) are an integral part of the rural health system, and it is imperative that their voices are accommodated in digital health projects. In the mobile health education project discussed in this thesis (The Bophelo Haeso project), we sought to find ways to amplify CHWs' voices, enabling them to directly influence design and research processes as well as technological outcomes. The Bophelo Haeso (BH) project equips CHWs with health videos on their mobile phones to use for educating and counselling the rural public. We investigated how to best co-design, with CHWs, a feedback mechanism atop the basic BH health education model, thus enabling their voices in the design process and in the process of community education. This thesis chronicles this inclusive design and research process - a 30-month process that spanned three sub-studies: an 18-month process to co-design the feedback mechanism with CHWs, a 12-month deployment study of the feedback mechanism and, overlapping with the feedback deployment study, a 17-month study looking at the consumption patterns of the BH educational videos. This work contributes to the field of Human Computer Interaction (HCI) in three distinct ways. First, it contributes to the growing knowledge of co-design practice with participants of limited digital experience by introducing a concept we termed co-design readiness. We designed and deployed explorative artefacts and found that by giving CHWs increased technical, contextual, and linguistic capacity to contribute to the design process, they were empowered to unleash their innate creativity, which in turn led to more appropriate and highly-adopted solutions. Secondly, we demonstrate the efficacy of incorporating an effective village-to-clinic feedback mechanism in digital health education programs. We employed two approaches to feedback - asynchronous voice and roleplaying techniques. Both approaches illustrate the combined benefits of implementing creative methods for effective human-to-technology and human-tohuman communication in ways that enable new forms of expression. Finally, based on our longitudinal study of video consumption, we provide empirical evidence of offline video consumption trends in health education settings. We present qualitative and quantitative analyses of video-use patterns as influenced by the CHWs' ways of being and working. Through these analyses, we describe CHWs and their work practices in depth. In addition to the three main contributions, this thesis concludes with critical reflections from the lessons and experiences of the 30-month study. We discuss the introduction of smartphones in rural villages, especially among elderly, low-literate, and non-English-speaking users, and present guidelines for designing relevant and usable smartphones for these populations. The author also reflects on her position as an African-born qualitative researcher in Africa, and how her positionality affected the outcomes of this research.

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Jewkes, Rachel Katherine. "Meanings of 'community' in community participation in health promotion." Thesis, King's College London (University of London), 1994. https://kclpure.kcl.ac.uk/portal/en/theses/meanings-of-community-in-community-participation-in-health-promotion(b6de367c-b093-4d06-a81b-42bb9746d344).html.

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Shaw, Bryan C. "Community-based health assessment Mannan tribal community in Kozhimala /." online resource, 2008. http://digitalcommons.hsc.unt.edu/theses/7/.

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McAree, D. P. "Women's health : community pharmacy care." Thesis, Queen's University Belfast, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.391103.

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Anderson, Claire Wynn. "Health promotion by community pharmacists." Thesis, King's College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299776.

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Smith, H. "Locating sustainable community health facilities." Thesis, University of Southampton, 2008. https://eprints.soton.ac.uk/352963/.

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This thesis describes research into location analysis as part of the process of planning community health facilities for sustainability. We consider both the general context of hierarchical health facilities and also particular application to rural areas of developing countries. It is our widespread remit in both the developed and developing worlds that gives our research its unique nature, both in models produced and in discussion of their applicability. We begin with a discussion of the planning for sustainability of community health schemes in rural areas of developing countries, highlighting the merits of both ground-level considerations and top-down planning. We continue with details of our hierarchical models for location of health facilities. Our preliminary modelling is based on classical principles of location theory; this stage of modelling is developed into novel bicriteria efficiency/equity models with special relevance to rural areas of developing countries. We then present a case study of use of our efficiency/equity models for location of community health facilities in Leeds, UK. Finally, we analyse data collected from a community health centre in rural northern India, and describe a model for estimating uptake of a facility's services from a surrounding region.

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Hanson, Brittany Minnick. "Growing Health: Community Gardens and their Effects on Diet, Physical and Mental Health and Community." Master's thesis, University of Central Florida, 2012. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5237.

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Recently, research on community gardens and their benefits to health and community has become very popular. However, this influx of research has failed to investigate challenges to successful community gardening. Some articles examine issues between community gardeners and the land owners, but other than these conflicts community garden challenges, like lack of participation and quality leadership, have not been discussed in the literature (Draper and Freedman, 2010). To allow future gardens to be as successful as possible it is important to identify potential obstacles. Additionally, it is just as important to continue to examine possible benefits, for example, physical activity and health benefits of community gardening and the breadth of community issues possibly addressed by community gardeners. Continuing to research on community will allow for more successful gardens and encourage funding for these programs. This study examines how food insecurity, health and community cohesion issues can be affected by community gardens in Central Florida. It also investigates challenges community gardens often face. To do this I conducted structured interviews with community gardeners and semi-structured interviews with community garden leaders at several gardens throughout Orange County, Florida. The results show that community gardens have several benefits including increased consumption of fresh produce, improved physical activity, mental health and community cohesion. However, gardens are not without difficulties. About a third of the gardeners and the majority of the leaders said that lack of participation was a challenge they faced.
ID: 031001542; System requirements: World Wide Web browser and PDF reader.; Mode of access: World Wide Web.; Adviser: James Wright.; Title from PDF title page (viewed August 21, 2013).; Thesis (M.A.)--University of Central Florida, 2012.; Includes bibliographical references (p. 65-68).
M.A.
Masters
Sociology
Sciences
Applied Sociology

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Liyanage, Lakshika Sajeevanie. "Social Work in community mental health teams : an ethnographic study with two community mental health teams." Thesis, Durham University, 2012. http://etheses.dur.ac.uk/3512/.

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Within the Community Mental Health Teams (CMHTs) in UK, Approved Mental Health Practitioners (AMHPs) and Mental Health Social Workers (MHSWs) from Local Authority Social Services Department (LASSD) work alongside other mental health professionals from health service backgrounds, promoting a multi-disciplinary model of working. However little is known about the impact of this model on these professionals. This research endeavoured to understand mental health social work interventions in multidisciplinary CMHTs in respect of: 1.The practice of general mental health social work 2.The impact of 2007 MHA on social work practice. 3.Mental Health Act assessments (statutory role) 4.Contributions to interdisciplinary mental health teams 5.Barriers and difficulties in integrated working An ethnographic approach in two CMHTs was employed in drawing upon secondary data, observations and interviews with AMHPs, MHSWs, other mental health professionals and service users, facilitating a rich understanding of the social work role from different perspectives. Bronfenbrenner’s (1977) ‘Ecology of Human Development Theory’ provided the conceptual and theoretical framework for the study, by identifying the different systems social work professionals interact in their practice. The findings reveal tensions in the microsystem (CMHT) on role definition, losing professional identity, difficulties in care coordination and stigma and status of social work professionals. Tensions in the exosystem include: poor collaboration between LASSD and the Mental Health Trust, fragmented relationships between AMHPs/MHSWs and LASSD, difficulties in working in specialist teams and the medical dominance in CMHTs. Findings on the macrosystem reveal impact of policies and legislation on social work professionals’ roles. I intend that these results will contribute significantly to the development and profile of MHSWs and AMHPs, as a professional group, and in turn will improve and develop the quality of social work support within mental health services. This subsequently will improve outcomes for service users, carers and communities.

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McCall, Kimberly P. "Congregation for Public Health examines community engagement knowledge of Program Administrators and Community Health Advisors using social capital and community capacity." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2006. https://www.mhsl.uab.edu/dt/2007r/mccall.pdf.

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Schemmer, Ruth Ann. "Survival of nonprofit community health clinics." Texas A&M University, 2003. http://hdl.handle.net/1969.1/3885.

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In the provision of public goods such as health care for the uninsured, nonprofit organizations serve important functions in society. Because they often rely on volunteer labor, and funding is frequently unstable, their survival depends on factors not present in either private enterprise or state agencies. This comparison case study examines three clinics, one surviving clinic and two that did not survive, to find patterns that characterize organizational success and survival. Theories about public goods, volunteering, and organizational coordination and communication provide insight into different aspects of the case study. Data was gathered from 19 in-depth interviews with individuals connected to the three clinics. The analysis employs OstromÂs characterization of eight principles of longstanding common-pool resource organizations, with slight adjustments for the public goods setting. As expected, the successful clinic reflects more of the characteristics, or possesses them to a greater degree, than the unsuccessful ones. Specifically, the successful clinic reflects a greater degree of congruence between organizational rules and local conditions (as evidenced by community support), and collective-choice arrangements (as indicated by the presence of an actively engaged board of directors). In addition, the successful clinic is loosely nested with other organizations, whereas the nonsurviving clinics were more tightly nested within local organizations; the looser nesting allows for greater autonomy in decision-making. Finally, an unexpected finding drawn from the interviews concerns the manner in which the clinics framed their message and mission. The successful clinic framed its mission in terms of serving the Âworking poor,Â whereas the nonsurviving clinics stated their mission as charity for the poor and needy. This variance may have contributed to greater community support for the successful clinic.

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Grady, Mike. "Leading community development for health improvement." Thesis, Middlesex University, 2009. http://eprints.mdx.ac.uk/6548/.

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There has been increasing interest in participatory approaches to health promotion. However, there is a lack of consensus on key definitions and limited evidence of the effectiveness of community development in contributing to health and wellbeing. This study evaluates from the perspective of user participants involved in community development projects in a deprived metropolitan area, the impact of that participation on overall health and wellbeing. The study highlights the impact of stress, depression, social isolation and the abrasive effects of multiple deprivation on the lives of the user participants. The main findings showed that a robust Community Development Strategy had been agreed by the partner agencies and this aligned with individual community development projects to address social cohesion and health inequality. The user participants self-reported being healthier and happier as a consequence of their participation. Participation had a positive psycho-social impact on service users increasing confidence, competence and self-esteem and created a wider social network and a greater social cohesion. For some participants, the additional support offered by involvement promoted better individual functioning. Others adopted a more activist role looking beyond individual needs, taking action to identify and address community needs. The study recommends action at a national level to promote a co-ordinated response to address the social determinants of health and at a local level for Local Strategic Partnerships to promote sustainable funded community development to address health inequalities and multiple deprivation focused on the wider determinants of health.

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Khurdajian, Angela. "Non-profit community mental health clinic." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1595233.

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The dynamic mental health landscape has placed undue strain on hospitals, providers, and the community at large, resulting in gross inequities in access to care for underserved populations. This business plan proposes the establishment of a Los Angeles area non-profit community mental health clinic, embedded with a mission to accept adult patients suffering from co-occurring mental health and chronic medical conditions, regardless of insurance status and ability to pay. Under the Patient Centered Medical Home model, the aim of the Clinic will be to treat patients holistically by incorporating an interdisciplinary team of clinicians to ensure optimal health outcomes. While this plan acknowledges the challenges in serving indigent populations, the Clinic will contract with Medi-Cal and commit to continuous fundraising efforts to remain financially sustainable in order to improve the health of vulnerable Angelenos.

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Marathe, Shriram. "BENCHMARKING COMMUNITY HEALTH CENTERS' EFFICIENCY:MULTIVARIATE ANALYSIS." Doctoral diss., University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2671.

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Community Health Centers (CHCs), designed to provide accessible and affordable health care services to low-income families, were first funded by the Federal Government as part of the War on Poverty in the mid-1960s. Improving healthcare organizational performance efficiency is paramount. It is an especially pressing need for CHCs' because they carry a disproportionate burden of caring for the uninsured within limited budgets. Prior studies suffer from conceptual and methodological limitations. A longitudinal multivariate analysis of factors influencing the performance of CHCs is needed. The purpose of this study is to benchmark CHC performance in terms of technical and cost efficiency, and examine factors that affect its variation. A theoretically grounded non-experimental study design is used, with five waves of panel data from 493 CHCs for the years 2000 through 2004. This study found that data mining and predictor tree analysis of factors influencing the variation in CHCs' technical and cost efficiency yielded inconsistent results. A declining trend in technical efficiency scores over the five-year study period was observed. Based on growth curve modeling, the three factors that influenced technical efficiency at the initial period of the study are: the percentages of Medicare, Medicaid, and Hispanic population being served by the CHCs. The five factors that positively influenced the variation in cost efficiency at the initial period were: the initial score of technical efficiency, the percentage of Hispanic patient population, staffing mix (ratio of providers to total staff), pay mix (ratio of federal grant dollars to total revenue), and percentage of Medicare-eligible. The initial cost-efficiency score and the initial technical efficiency score are negatively associated with the growth trend of technical efficiency. The initial level of technical efficiency is not statistically significantly associated with the growth trend of cost efficiency. The two factors influencing the growth trend of cost efficiency are the growth trend of technical efficiency (with a positive influence) and the initial level of cost efficiency (with a negative influence). Analysis of the effects of contextual and organizational-structural variables on the technical efficiency and cost efficiency of community health centers found that the explanatory power of the predictors is much greater for cost efficiency than for technical efficiency. The study lends support to contingency theory and confirms the independent and additive influences of contextual and organizational predictors on efficiency. Irrespective of the efficiency measures, contextual factors have much more influence on CHCs' efficiency than design (organizational structural) factors do. The three study hypotheses supported by multivariate analysis are: technical efficiency is associated with contextual factors and organizational factors; cost efficiency is associated with contextual factors and organizational factors; and technical efficiency positively affects cost efficiency.
Ph.D.
Department of Public Administration
Health and Public Affairs
Public Affairs: Ph.D.

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Hariri, Shapour. "Multimedia health promotion in community pharmacy." Thesis, King's College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.301212.

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Williams, Roy Jerome III. "Integrating community health workers in schools." Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/81642.

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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2013.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 59-63).
The Patient Protection and Affordable Care Act (PPACA) has set the tone for a radically revised health landscape in America that focuses on community-based care. Our health care system, however, has neither the infrastructure nor the vision to properly account for these demands. One possible solution is to redefine how established positions and organizations can be utilized to help accommodate the emerging needs. School-based health centers (SBHCs), for example, have traditionally provided general health services to students and members of the surrounding community. In many low-income neighborhoods, however, the needs of the community members far outpace the capabilities of the SBHCs and local community-based health centers. One promising answer to the need for community-based care is the integration of community health workers (CHWs) in SBHCs. The PPACA has identified CHWs as an integral component of health teams. They serve to connect people who have been historically marginalized to necessary health services and advocate on the behalf of community needs. This commentary proposes the integration of the CHW role into schools to provide comprehensive health-services to more students and community members than can be currently served. The argument begins with an examination of Massachusetts' CHW advocates' struggle to legitimize the field to gain the professional respect of other medical professions. Next, it explores the possibilities of a CHW in a school setting and makes recommendations to improve the viability and effectiveness of the role. It closes with an analysis of different views of community-based care and the role of planning in negotiating future workforce development challenges.
by Roy Jerome (RJ) Williams, III.
M.C.P.

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Eriksson, Malin. "Social capital, health and community action : implications for health promotion." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-34198.

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Background; The overwhelming increase in studies about social capital and health occurring since 1995 indicates a renewed interest in the social determinants of health and a call for a more explicit use of theory in public health and epidemiology. The links between social capital and health are still not clear and the meanings of different forms of individual and collective social capital and their implications for health promotion needs further exploration. The overall aims of this thesis are to explore the relationship between social capital and health and to contribute to the theoretical framework of the role of social capital for health and health promotion. Methods; Data from a social capital survey were used to investigate the associations between individual social capital and self-rated health for men and women and different educational groups. Survey data were also analyzed to determine the association between collective social capital and self-rated health for men and women. A qualitative case study in a small community with observed high levels of civic engagement formed the basis for exploring the role of social capital for community action. Data from the same study were utilized for a grounded theory situational analysis of the social mechanisms leading to social capital mobilization. Main findings; Access to individual social capital increases the odds for good self-rated health equally for men and women and different educational groups. However, the likelihood of having access to social capital differs between groups. The results indicate a positive association between collective social capital and self-rated health for women but not for men. Results from the qualitative case study illustrate how social capital in local communities can facilitate collective actions for public good but may also increase social inequality. Mobilizing social capital in local communities requires identification of community issues that call for action, a fighting spirit from trusted local leaders, “know-how” from creative entrepreneurs, and broad legitimacy and support in the community. Conclusions; This thesis supports the idea that individual social capital is health-enhancing and that strengthening individual social capital can be considered one important health promotion strategy. Collective social capital may have a positive effect on self-rated health for women but not for men and therefore mobilizing collective social capital might be more health-enhancing for women. Collective social capital may have indirect positive effects on health for all by facilitating the ability of communities to solve collective health problems. However, mobilizing social capital in local communities requires an awareness of the risk for increased social inequality.

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Ronda, Gabriëlle Maria. "The Dutch heart health community intervention 'Hartslag Limburg' an evaluation /." [Maastricht : Maastricht : Universiteit Maastricht] ; University Library, Maastricht University [Host], 2003. http://arno.unimaas.nl/show.cgi?fid=6009.

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Zembe, Yanga. "Community participation in the recruitment of community health workers :a case study of the three community health worker programmes in South Africa." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7266_1299058637.

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This research investigates the nature and extent of community participation and involvement in the recruitment and selection processes for Community Health Workers (CHWs), primarily through detailed case studies of three CHW programmes, one in the Western Cape, another in KwaZulu-Natal, and a third which operates in the Western Cape and KwaZulu-Natal. The first utilizes CHWs in health education and home-based care in Khayelitsha and Nyanga. The second specializes in the training, management and supervision of home-based care CHWs in the rural areas of KwaZulu-Natal. The third utilizes CHWs in addressing maternal and child health issues in targeted peri-urban and rural areas in the three provinces. The mini-thesis is organized into five chapters: the first chapter provides the introduction and background as well as the methodological design of the mini-thesis
the second chapter focuses on providing a detailed literature review of relevant materials that cover the subject matter
the third chapter provides the descriptive background of the history of CHWs, CHW policies and community participation in South Africa, as well as a description of the three case study organizations
the fourth chapter describes and discusses the findings and the last and fifth chapter provides a summary of the findings as well as recommendations and conclusions.

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Casey, Lynda. "Perceptions of Community Health Board members regarding community empowerment and participation." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0008/MQ36347.pdf.

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Jones, Andrew Peter. "Health service accessability and health outcomes." Thesis, University of East Anglia, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296338.

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Boulle, Therese Marie. "Developing an Understanding of the factors related to the effective functioning of Community Health Committees in Nelson Mandela Bay Metropolitan Municipality, Eastern Cape Province, South Africa." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4635_1253238212.

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This research aimed to investigate the factors related to the functioning of Community Health Committees in Nelston MandelaBay Municipality. It intended to elicit information on factors which promote and inhibit their effective functioning. It used the qualitative research methods of focus group discussions, concluded with a sample of Community Health Committee members, and in depth, individual interviews with key informants. The contents of the transcriptions of all focus group discussions and in-depth individual interviews were analysed so as to identify the recurring themes and key suggestions.The findings indicated that Community Health Committees are not functioning as per their original intention and that relevant policies have not been accurately translated into practice.

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Llewellyn-Jones, Lorraine M. 1951. "The relationship between health professionals and community participation in health promotion." Monash University, Faculty of Education, 2003. http://arrow.monash.edu.au/hdl/1959.1/7843.

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Roberts, Heather. "Promoting participation in health in the community using a health survey." Thesis, University of Nottingham, 1993. http://eprints.nottingham.ac.uk/12598/.

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Health promotion is an emerging discipline that seeks to enhance positive health and prevent ill health. This thesis is designed to inform practice in health promotion. It is based on an action research project that draws together interdisciplinary concepts of the measurement of health and community participation. In so doing it identifies the use of a survey, the Community Health Promotion Survey (CHPS). The thesis argues that when used creatively in this way a survey may simultaneously serve two purposes: first, measure health-related behaviour and, secondly, promote participation in health within a community. Thus, in this study, the survey process and its impact on the lay community were considered to be as important as the measurements of health-related behaviour obtained. Surveys to measure the health-related behaviour of whole populations have been well tested and standard methods were adopted. In this project two of the three local GP Practices gave permission for their FPC patients' lists to be used as a sampling frame which covered 75% of all Staveley's 13,420 adult patients. Lists were stratified by age and sex. A 20% systematic, random sample of 2,003 patients was drawn. The sample was shown to be representative by age and sex of the whole population. A postal survey of these patients, using two reminders, obtained a response of 59% after exclusions for non-delivery of 8%. Males and the elderly are under-represented in response. Teachers in all 3 local secondary schools agreed to administer the survey to their first and fourth year groups. Response from pupils attending school on the day on which the survey took place was 100%. Self-reported measurements of health-related behaviour were obtained, using reliable questions. For example, 23% of adult respondents were ex-smokers and 26% were daily cigarette smokers. 22% of respondents reported that they never drank alcohol and 18% of males had drunk more than 21 units of alcohol in the previous week. Analyses by chisquare and Mantel-Haenszel showed, generally, that the strongest influences on health-related behaviour were age and social class. For example, parental status was less strongly associated with levels of alcohol consumption than age. Re-administration of the adult survey to a matched sample identified changes in health-related behaviour, for example, there was a reduction in the frequency of egg consumption and younger people were more likely to have increased their frequency of drinking skimmed milk than older groups. The role of a survey in facilitating community participation is less well understood. Two crucial elements were therefore introduced and tested in the survey. These may be seen as early stages of community participation and contained key elements of "radical" survey methodology. First, the feasibility of surveying a range of non-representative "hard to reach" community groups was assessed. Of the 52 groups contacted 50 (96%) agreed to participate, with response being achieved from 47 (94%). Response rates from groups collectively was low (16%) but varied greatly between groups, reaching 86% in one instance. Groups producing the highest responses were social in nature, with a membership of 10 - 100. The study showed that many types of community groups will readily assist in the distribution and collection of questionnaires to group members. Secondly, extensive feedback from and about the survey to lay and professional individuals and groups was tested. Results showed that there was considerable lay interest in feedback. 62% of respondents selected, on average, three of the ten items offered. The summary of survey findings (38%) and healthy eating (36%) were of most interest, making up 40% of all feedback. Those often thought to be least interested in health, such as the unemployed, were just as likely to ask for information as others, although women requested 63% of all feedback. Information requested appeared to relate to the individual's circumstances with, for example, males in the "at risk" age group for heart disease asking for that leaflet. The impact of the CHPS on individual respondents and the lay community was measured. The study showed that awareness of the survey was raised amongst 40% of the community. Women (51%) were more likely to have heard about it than men (33%). The survey's ability to stimulate social networks was assessed. Friendships were shown to be the most important channels of information about the CHPS (37%). The family was of equal importance to posters (16%) in disseminating information about the survey. There was some evidence that, in a few groups, awareness of health issues had been raised and some activity had been generated. This appeared to be greater where contacts with a health promotion officer had been established. A surprising, and tentative, finding is that, in itself, the CHPS may have stimulated some change in a small number of individual respondents. Follow-through by professionals that builds on the surveying process and feedback may lead to more intensive levels of community participation. Practical opportunities for follow-through were identified, for example, systematic feedback about their own patients and school pupils to General Practitioners and teachers and feedback of a group's data to a participating community group. Response from health promotion professionals to follow-through opportunities were examined and found to be generally disappointing. The use of the method by policy makers, planners and practitioners was explored. Their dissemination of findings to other professionals and setting targets for changes in the population's health-related behaviour was similar to that observed elsewhere. However, practitioners' response to the implications of research for practice was negligible. It is recommended that health-related behaviour should continue to be seen as one limited but appropriate intermediate indicator for health promotion. The limitations of postal survey data need be recognised, for example, measurements often under-represent the health-related behaviour of some population groups, such as males and the elderly. Resulting bias in data are important considerations when using data in policy and planning, for example, setting targets for health promotion and monitoring population changes in health-related behaviour. Methods for increasing postal response from those known to be poorer responders are suggested, such as personalisation of postal contacts, telephone reminders and complementary data collection methods, including interviewing the elderly in their usual meeting places. It is recommended that, at a national level, reliable, standardised questions should be developed for use in postal surveys to facilitate comparison of data between populations. In terms of community participation in health it is proposed that, based on the CHPS experience, surveys in small areas to further examine their potential to promote participation in health should be carried out. Such studies should focus on examining ways in which surveys may activate social networks and innovative routes for feedback. Emphasis should be given to the use of data by practitioners and to identifying, carrying out and assessing the impact on the lay community of follow-through activities. It is recommended that training for health promotion staff in both research methods and community participation is required to underpin professional practice in community participation in health. The study demonstrated that a survey to measure health and, at the same time, promote participation in health was a feasible, coherent activity that was acceptable to the community. It may therefore be considered as one strategy by health promotion staff seeking economic and innovative methods for practice.

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Kama, Zukiswa Shirley. "An evaluation of access to health care : Gugulethu Community Health Clinic." Thesis, Cape Peninsula University of Technology, 2017. http://hdl.handle.net/20.500.11838/2456.

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Thesis (MTech (Public Management))--Cape Peninsula University of Technology, 2017.
The purpose of this study was to examine the problem of access to health care centres in the Western Cape and to forward recommendations that will improve access to health care facilities in the Western Cape. The first objective of the study was to identify trends in primary health care looking at Nigeria, with the view of learning lessons of experience. Secondly, the study provided an overview of the South African health care system. The study further examined the problems around access to Gugulethu Community Health Clinic. The research objectives were directly linked to the composition of chapters. The study utilised a mixed-method approach of quantitative and qualitative approaches. This method is called multi-method approach. The purpose of combining the two approaches was to understand the research problem from a subjective and objective point of view, as well as to provide an in-depth understanding of a research topic, which led to more reliable research results. Data collection was acquired by utilising a structured questionnaire and personal observations. Two groups of respondents participated in the study inter alia: the patients and the staff of Gugulethu Community Health Clinic.

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Griggs, Mary. "Deafness and mental health : perceptions of health within the deaf community." Thesis, University of Bristol, 1998. http://hdl.handle.net/1983/44dae0db-ab9f-4d7a-bc9d-db66bf33930e.

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31

Morgan, Natalie D. G. "The impact of health care reforms on community health nurses' attitudes /." St. John's, NF : [s.n.], 2002.

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32

Songpaisan, Yupin. "Community oral health care projects in Thailand." Malmö, Sweden : Dept. of Cariology, Faculty of Odontology, Lund University, 1994. http://books.google.com/books?id=ZAxqAAAAMAAJ.

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33

Tomintz, Melanie Natascha. "Modelling Location of Community Based Health Services." Thesis, University of Leeds, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.494255.

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34

Brookbank, Kathleen. "HIV : impact on community health nursing personnel." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834518.

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35

Smith, Hayden. "SOCIAL PATHOGENIC SOURCES OF POOR COMMUNITY HEALTH." Master's thesis, University of Central Florida, 2007. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/3496.

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The United States currently provides a health care system that is neither efficient nor equitable. Despite outspending the world on health care, over three-fourths of developed countries produce better health outcomes (Auerbach et al., 2000). Simultaneously, the "Ecological School of Thought" has documented the large impact that social, economic, and environmental circumstances play in health outcomes. Unfortunately, these 'ecological" studies are frequently conducted without theoretical justification, and rely solely on a cross-sectional research design and a myriad of unrelated variables. This study represents an important step towards the development of a true theory of "ecology". More specifically, we argue that the adversity associated with socio-economic disadvantage, social disorganization, and a lack of health care resources, leads to adverse health outcomes, represented by sentinel health events. This research employs both a cross-sectional (2000) and longitudinal designs (1990 – 2000) to assess the antecedents of sentinel health events in 309 United States counties. Structural Equation Modeling was the statistical technique employed in the study. Findings revealed that socioeconomic disadvantage remains a primary contributor to sentinel health. Indeed the economic growth between 1990 and 2000 was associated with increased rates of sentinel health events. Social disorganization was identified as a primary contributor to sentinel health events at a specific time point (2000), but was not significant over time (1990 -2000). Conversely, the inadequacy of health care resources was non-significant in the cross-sectional model (2000), but significant in the longitudinal model (1990 -2000). In both models, racial characteristics were fundamentally linked to ecological predictors of health We found support for the notion that sentinel health events would be reduced through economic equity and the development of healthy environments where community ties are reinforced. Less support is found for saturating given geographical areas with health care resources in order to reduce sentinel health events. Future research should be directed by the theoretical advancements made by this study. More specifically, future studies should examine independent cross-level effects, that is, through the inclusion of behavior variables as mediating factors for ecological constructs.
Ph.D.
Other
Health and Public Affairs
Public Affairs PhD

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Gooding, Lewis D. "Care, community and the mental health nurse." Thesis, University of East Anglia, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.399844.

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Beecham, Jennifer Kate. "Community mental health services : resources and costs." Thesis, University of Kent, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.319222.

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Elsey, Helen. "Encouraging participation in a community health programme." Thesis, University of Southampton, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.427707.

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39

Moohan, R. "Connected health : applications in community pharmacy practice." Thesis, Queen's University Belfast, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.680058.

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As the population ages, the use of information technology and telecommunications in healthcare delivery (often known as Connected Health, telehealth or e-health) has been proposed as a means of providing . patient-centred care to those with chronic conditions. Little research has been conducted into the involvement of community pharmacists in Connected Health delivery. This thesis aimed to investigate the potential role of community pharmacists in the delivery of Connected Health services. A systematic content analysis of print media was performed to explore reporting of Connected Health in UK and US newspapers. A qualitative interview study was conducted with community pharmacists and key stakeholders in Canada and Northern Ireland to gather their views on community pharmacist involvement in Connected Health. Informed by the latter qualitative study, an online questionnaire was distributed to community pharmacists in Northern Ireland to explore their views regarding their potential role in Connected Health. Finally, a feasibility study was carried out, in which community pharmacists sent patients mobile telephone medication reminders and remotely monitored their blood pressure . . Connected Health was positively reported by the print media in the US and the UK. Community pharmacist and key stakeholder interviewees were supportive of community pharmacist involvement in Connected Health, believing it would extend and promote ' their role. However, they had concerns regarding appropriate remuneration. Similar views were obtained from community pharmacist questionnaire respondents. The feasibility study showed that a community pharmacy-based Connected Health programme could be successfully implemented on a small scale. Participants involved were positive about community pharmacist involvement in Connected Health. Community pharmacist involvement in Connected Health has the potential to improve patient outcomes and ease pressure on the health service. However, barriers such as funding and general practitioner acceptance would need to be overcome and a sound evidence base established before routine pharmacist involvement becomes a reality.

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Ballard, Madeleine. "Community health workers : efficacy, taxonomy, and performance." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:0958a784-e5a1-432f-8980-6f65d93e698f.

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Background: This thesis presents an empirical investigation into the efficacy, types, and performance of community health workers (CHWs)-trained lay people to whom simple medical procedures can be "task shifted" from doctors. It has three objectives: (1) assess the effects of CHW delivered interventions for primary health outcomes in low-and middle-income countries (LMICs), (2) develop a comprehensive taxonomy of CHW characteristics and programme design features, and (3) assess the relative efficacy of different types of CHW programme designs and how they can be used to optimise CHW performance. Structure and Methods: Following the logic of early stage intervention development, this thesis has an iterative and developmental structure in which each section flows out of and builds on the previous section. Objective one is addressed in Chapters 2-4: scoping review, systematic review, and meta-analytic methods are applied to establish the efficacy and effectiveness of CHW-led interventions in LMICs. Objective two is addressed in Chapter 5: inductive, thematic analysis of systematically identified trials, influential papers, and existing information classification systems is used to develop a formal CHW taxonomy for intervention reporting and coding. Objective three is addressed in Chapter 6: systematic review methods are employed to identify interventions for improving the performance of community health workers in LMICs. Results: Objective one: a systematic review of 155 papers reporting 86 trials found high quality evidence that CHW delivered interventions reduce perinatal mortality, improve child nutritional status, and improve tuberculosis completion rates versus facility-based care. There is also moderate quality evidence that CHW delivered interventions improve certain mental, infectious disease, paediatric, and maternal health outcomes. In undertaking this process, an additional, methodological contribution was made in the form of a tool to reduce risk of bias in overviews of reviews. This tool may facilitate early stage intervention development in the future. Objective two: 253 records were used to establish, in a faceted taxonomy, the definitional clarity required for theory building and knowledge accumulation. Two categories (CHW Characteristics and CHW Programme Features) and six dimensions (Integration, Recruitment, Training, Supervision, Incentives, and Equipment) emerged. Objective three: a systematic review of 14 trials identified moderate quality evidence of the efficacy of CHW performance interventions in improving certain behavioural outcomes for patients, utilisation of services, and CHW quality of care. There was no effect on the biological outcomes of interest. Conclusion: In bringing the tools of evidence based practice to bear on community health worker interventions, this dissertation has contributed to the theoretical, methodological, and empirical evidence base from which the field can continue to advance.

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Urey, Fernandez Juan Pablo. "Home is Here: Community and Health Center." Thesis, Virginia Tech, 2020. http://hdl.handle.net/10919/99092.

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Over 11 million undocumented immigrants live in the shadows all across America. They live with the fear of being separated from their families and the risk of being detained or deported back to a country they escaped. This thesis explores ideas of home, safety, and belonging through different elements in architecture, utilized to create welcoming and safe spaces. The community and health center is designed to reach, support, and empower immigrants, while acting as a new home where immigrants access a variety of health, education, and social programs. The project reuses and re-purposes an abandoned building, which was originally designed to welcome immigrants, by carving out historic spaces while creating a new addition that gives it new life. To create a more welcoming experience, the existing brick building is integrated with the new through the use of natural materials, color, and the addition of large openings that allow natural light to fill the interiors. The design of large gathering areas both inside and outside allow people to come together and create a sense of community. Located in the center of immigrant neighborhoods, the proposed community and health center acts as a new beacon of hope and tranquility for immigrants in the District of Columbia.
Master of Architecture
Everyday more than 11 million undocumented children and adults face the fear of being separated from their families and the risk of being placed in caged-like cells called immigrant detention centers. Rather than having more spaces that criminalize and treat immigrants inhumanely, this thesis seeks to design a space that welcomes and supports undocumented immigrants. A proposed community and health center is designed to reach, support, and empower immigrants, while acting as a new home where immigrants could access a variety of health, education, and social programs. The project reuses and repurposes a section of an abandoned building, originally built to provide housing and health services to immigrants, and introduces a new addition with the goal to preserve and continue its history as a place for immigrants. In order to create a more welcoming and safe experience, the design of the proposed building integrates three different strategies. First, the integration of sustainable natural materials and warm colors in the structure of the new addition and the interiors of the existing building. Second, the integration of large operable openings that frame views of the exterior landscape and allow natural light and fresh air to fill the interiors. Lastly, the integration of gathering spaces in the landscape and interiors that allow people to come together and create a sense of community. The proposed community and health center would become a new beacon of hope and tranquility for undocumented immigrants that live with fear and face different obstacles due to their legal status.

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Wilson, Stephen Francis. "New models of multidisciplinary community health care." Thesis, The University of Sydney, 2005. http://hdl.handle.net/2123/895.

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This thesis consists of a series of studies of new models of multidisciplinary community health care in four compartments. These compartments are acute, subacute, outpatient and maintenance care. The purpose of the individual studies is to demonstrate the benifits of munltidisciplinary community health care in delivering alternatives to current practice by replacing hospital care or improving traditional community care.

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Wilson, Stephen Francis. "New models of multidisciplinary community health care." University of Sydney, 2005. http://hdl.handle.net/2123/895.

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Doctor of Philosophy(PhD)
This thesis consists of a series of studies of new models of multidisciplinary community health care in four compartments. These compartments are acute, subacute, outpatient and maintenance care. The purpose of the individual studies is to demonstrate the benifits of munltidisciplinary community health care in delivering alternatives to current practice by replacing hospital care or improving traditional community care.

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Ghaly, Marina Adele. "Client outcomes in a community health setting." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/277274.

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A descriptive design was used to describe five client outcome scales as potential measures of quality care in home health care: discharge status, client satisfaction, medication adherence, general symptom distress and caregiver strain. The conceptual model used necessitated three separate samples: a discharged sample of 20 clients, an active client sample of 14 subjects and a caregiver sample of three subjects for a total of 37 subjects. Structured interviews and questionnaires were used; descriptive statistics were applied to scores. The most notable indicator of quality of care, the medication adherence scale, showed all clients taking medications as prescribed. The primary reason for discharge showed that the client could manage without further services. Clients reported that they were somewhat satisfied or very satisfied with services. Caregivers reported a low perceived level of stress. The scales measuring discharge status and symptom distress need further investigation to determine if they are true indicators of the concept of quality care.

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Macleod, Catriona. "Research as intervention within community mental health." Aosis Open Journals, 1997. http://hdl.handle.net/10962/d1014525.

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This paper raises some issues for discussion and debate concerning the nature of research within a mental health setting. Research, no matter what form it takes, is always an intervention. Sensitivity to various concerns surrounding research is required of the mental health worker. Participatory research, which is seen as empowering participants, has become popular in mental health programmes. Attention needs to be paid however, to the meaning of participation and the process of decision-making. Researchers are often uncomfortable with shedding their “objective informer” stance and adopting a position that requires social action. Some of this has to do with the epistemological view taken by the researcher. This paper suggests that the knowledge produced in research is a social construction created in interaction between the researcher and participants and has a multiplicity of potential meanings. The instrumental, conceptual and persuasive uses of research are discussed, and two intervention-type research procedures (needs assessment and evaluation) are critically reviewed It is concluded that research, as with all other interventions, should be carefully planned, implemented, monitored and evaluated.
This paper was written by Catriona Macleod as M.Ed (Psych), Department of Educational Psychology, University of Zululand

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Kingsford, Rachel. "Self-Rated Health and Community/Social Relations." DigitalCommons@USU, 2008. https://digitalcommons.usu.edu/etd/98.

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This study was done to examine the relationship between self-rated health and social/community relations. Due to advances in modern medicine, multifactorial diseases are more prevalent than acute infectious diseases and a greater understanding of the impact sociological variables has on health is of great importance. In prior research, self-rated health has been demonstrated to be a robust predictor of mortality, even when controlling for other variables known to impact health. Presence of a strong social network and attachments to community have been shown to be protective of self-perceptions of health. The Health and Living study was conducted in the Bear River Health District located in northern Utah in 2004 utilizing a mail survey. The relationship between self-rated health and social network indicators in addition to community attachment variables was evaluated statistically. Demographic variables were also analyzed. Church attendance, number of friends, income, age, and education were found to be statistically significant.

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47

Amador, Karina, and Natalie Salas. "MENTAL HEALTH SERVICES IN AN EXCLUSIVE LATINO COMMUNITY VERSUS A DIVERSE COMMUNITY." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/878.

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This study examined whether Latino immigrants’ community environment influenced perceptions about the meaning of mental health and accessing mental health services. The two environments analyzed in were an exclusively Latino community (primarily Latino members) and a diverse community (composed of different ethnicities including Latinos). The research method used in this study was a qualitative survey design. A semi-structured interview guideline with questions on the meaning of mental health, mental health services access, and community norms on mental health was utilized with 24 respondents. Responses were then analyzed to find themes. Findings from this study found similarities as well as differences in the two groups in seeking mental health services. Differences were more commonly in the details of the responses rather than in the themes of the responses. The finding will help social workers, who provide a large percentage of mental health services, understand the individual, the barriers, and the importance of social environments in seeking mental health services.

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Friedman, Nicole Lisa. "Impactful Care: Addressing Social Determinants of Health Across Health Systems." PDXScholar, 2019. https://pdxscholar.library.pdx.edu/open_access_etds/5073.

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There is emerging evidence that addressing health-related social needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Unmet health-related social needs, such as food insecurity, inadequate or unstable housing, and lack of access to transportation may increase the risk of developing chronic conditions, reduce an individual's ability to manage these conditions, increase health care costs, and lead to avoidable health care utilization. In response, work on social needs is happening across large health systems in the United States, but the pace of progress is slow and accountability is diffuse. The goal of this applied research project is to examine Kaiser Permanente Northwest's patient navigator program as a case study for how health systems can transform into organizations that bridge clinical, social and behavioral health and redefine what it means to be a prevention-oriented delivery system. Kaiser Permanente Northwest (KPNW) provides high quality, patient-centered care to over 550,000 medical members and 240,000 dental members in Oregon and Southwest Washington. In conjunction with the Care Management Institute, KPNW created a patient navigator administered, social needs screening tool called "Your Current Life Situation" (YCLS). This thesis focuses on the data collected from this screening tool with an emphasis on operations management, workflows, and the technical tools that have been supported to do this work. The analysis also uses semi-structured qualitative interviews from patient navigators, physicians, social workers, community organizations and members to better understand the experience of social needs screening in clinical practice and its impact on members and community partners as they receive referrals for services outside the health care delivery system. Through using anthropological theory and methods, I seek to help health systems think and act differently by elevating the voice and experience of the community and translating vulnerable populations' needs into a language that can be integrated into multiple systems of care.

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Sun, Xiao Ming. "Health access and health financing in rural China." Thesis, Keele University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263121.

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Young, Kate. "The organisation of the community health services in Norwich Health District : an evaluation of the community care group scheme." Thesis, University of East Anglia, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.303065.

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Dissertations / Theses on the topic 'Community Health'

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