Dimensions of Community-Based Projects in Health Care (International Perspectives on Social Policy, Administration, and Practice)

Front Matter ....Pages i-xi Introduction (Steven L. Arxer, John W. Murphy)....Pages 1-13 Narrative Medicine in the Context of Community-Based Practice (John W. Murphy)....Pages 15-23 Qualitative and Participatory Action Research (Steven L. Arxer, Maria del Puy Ciriza, Marco Shappeck)....Pages 25-35 Health Committees as a Community-Based Strategy (Berkeley Franz, Chantelle Shaw, Keilah Ketron)....Pages 37-53 Dialogue, World Entry, and Community-Based Intervention (Jung Min Choi)....Pages 55-66 Politics of Knowledge in Community-Based Work (Karie Jo Peralta)....Pages 67-78 Community Mapping Tells an Important Story (Karen A. Callaghan)....Pages 79-92 Training Physicians with Communities (David Laubli, Daniel Skinner, Kyle Rosenberger)....Pages 93-104 A Community-Based Approach to Primary Health Care (Khary K. Rigg, Doug Engelman, Jesús Ramirez)....Pages 105-117 Conclusion: Reimagining Community Planning in Health Care (Steven L. Arxer, John W. Murphy)....Pages 119-127 Back Matter ....Pages 129-132 Preface 6 Contents 8 Contributors 9 Chapter 1: Introduction 12 The Relevance of Community-Based Health Care 12 The Legacy of Biomedicine 15 Beyond Biomedicine: The Rise of a Community-Centered Model and Holistic Care 16 Reaffirming Community-Based Imagery 17 From Social Ecology to the Symbolism of Community 18 Community-Based Planning as a “People’s Science” 19 Organization of the Book 20 References 23 Chapter 2: Narrative Medicine in the Context of Community-Based Practice 25 Introduction 25 The Problem with Dualism 26 A New Style of Practice 28 World Entry 29 Dialogue and Reflection 30 Medicine in the World 31 Conclusion 32 References 32 Chapter 3: Qualitative and Participatory Action Research 34 Introduction 34 Assumptions of Traditional Social Research 36 Dilemmas and Dangers of Traditional Social Research 37 An Alternative: Social Research Undertaken from Below 39 Conclusion 42 References 43 Chapter 4: Health Committees as a Community-Based Strategy 45 Introduction 45 Becoming Community Based: Local Knowledge, Dialogue, Full Participation, and Autonomy 49 Research Questions and Methods 51 Findings 51 Committee Membership 52 Governance Structure 52 Meeting Frequency 53 Affiliation 54 Diversity of Projects 54 Discussion 55 Governance Structure 55 Agenda Setting/Minute Recording/Advertising 55 Membership 56 Frequency of Meetings 57 Affiliation 57 Projects 58 What’s in a Name? 58 Conclusion 59 References 59 Chapter 5: Dialogue, World Entry, and Community-­Based Intervention 62 Introduction 62 Dualism, the Rise of Objectivity, and the Scientific Method 63 The Total Market, Commodification of Health, and the Absence of Dialogue 67 Dialogue and World Entry? 69 Conclusion: Community-Based Intervention 72 References 73 Chapter 6: Politics of Knowledge in Community-Based Work 74 Introduction 74 Recognizing the Credibility of a Community 75 Hierarchy and Status 75 Overcoming Status Biases 76 Appreciating Local Ways of Knowing 77 Significance Given to Lived Experience 77 The Legitimacy of Local Knowledge 78 Democratizing Health Projects 79 Dialogical Knowledge Production 79 Community-Based Leadership 80 Egalitarian Spaces 80 Conclusion 82 References 83 Chapter 7: Community Mapping Tells an Important Story 86 Introduction 86 Community-Based Philosophy: Narratives and Dialogue 89 Community-Based Participatory Research: Empowerment 91 Community-Based Participatory Mapping: Cocreating a Social World 92 Conclusion 96 References 97 Chapter 8: Training Physicians with Communities 100 Introduction and Background: Why Community-Based Medicine? 100 Theoretical Foundations of Community-Based Medical Education 101 Methods 104 Findings 105 A Closer Look at Five Programs 106 Discussion and Recommendations for Future Investments in CBME 108 Conclusion 109 References 110 Chapter 9: A Community-Based Approach to Primary Health Care 112 Defining Primary Health Care 112 Primary Health Care: A Challenge to Tradition 113 Alma-Ata: The Origins of Primary Health Care 114 Combining the Primary Health-Care Model into a Community-Based Philosophy 115 Phenomenology and Primary Health Care 117 Moving Primary Health Care Forward 119 Conclusion 121 References 122 Chapter 10: Conclusion: Reimagining Community Planning in Health Care 125 Introduction 125 A New Worldview 127 Community Participation in Planning 128 Reimagining Community 129 Imagining the Communal in Community Action 130 Conclusion 132 References 132 Index 134 This salient reference grounds readers in the theoretical basis and day-to-day practice of community-based health care programs, and their potential as a transformative force in public health. Centering around concepts of self-determination, empowerment, and inclusiveness, the book details the roles of physicians, research, and residents in the transition to self-directed initiatives and greater community control. Community-focused interventions and methods, starting with genuine dialogue between practitioners and residents, are discussed as keys to understanding local voice and worldview, and recognizing residents as active participants and not simply targets of service delivery. And coverage pays careful attention to training issues, including how clinicians can become involved in community-based care without neglecting individual patient needs. Among the topics covered are: Narrative medicine in the context of community-based practice. Qualitative and participatory action research. Health committees as a community-based strategy. Dialogue, world entry, and community-based intervention. Politics of knowledge in community-based work. Training physicians with communities. Dimensions of Community-Based Projects in Health Care challenges sociologists, social workers, and public health administrators to look beyond traditional biomedical concepts of care and naturalistic methods of research, and toward more democratic programs, planning, and policy. The partnerships described in these pages reflect a deep commitment to patients’ lives, and to the future of public health.p> This salient reference grounds readers in the theoretical basis and day-to-day practice of community-based health care programs, and their potential as a transformative force in public health. Centering around concepts of self-determination, empowerment, and inclusiveness, the book details the roles of physicians, research, and residents in the transition to self-directed initiatives and greater community control. Community-focused interventions and methods, starting with genuine dialogue between practitioners and residents, are discussed as keys to understanding local voice and worldview, and recognizing residents as active participants and not simply targets of service delivery. And coverage pays careful attention to training issues, including how clinicians can become involved in community-based care without neglecting individual patient needs. Among the topics covered are: * Narrative medicine in the context of community-based practice. * Qualitative and participatory action research. * Health committees as a community-based strategy. * Dialogue, world entry, and community-based intervention. * Politics of knowledge in community-based work. * Training physicians with communities. __Dimensions of Community-Based Projects in Health Care__ challenges sociologists, social workers, and public health administrators to look beyond traditional biomedical concepts of care and naturalistic methods of research, and toward more democratic programs, planning, and policy. The partnerships described in these pages reflect a deep commitment to patients’ lives, and to the future of public health.p> Annotation This salient reference grounds readers in the theoretical basis and day-to-day practice of community-based health care programs, and their potential as a transformative force in public health. Centering around concepts of self-determination, empowerment, and inclusiveness, the book details the roles of physicians, research, and residents in the transition to self-directed initiatives and greater community control. Community-focused interventions and methods, starting with genuine dialogue between practitioners and residents, are discussed as keys to understanding local voice and worldview, and recognizing residents as active participants and not simply targets of service delivery. And coverage pays careful attention to training issues, including how clinicians can become involved in community-based care without neglecting individual patient needs. Among the topics covered are:Narrative medicine in the context of community-based practice. Qualitative and participatory action research. Health committees as a community-based strategy. Dialogue, world entry, and community-based intervention. Politics of knowledge in community-based work. Training physicians with communities. Dimensions of Community-Based Projects in Health Care challenges sociologists, social workers, and public health administrators to look beyond traditional biomedical concepts of care and naturalistic methods of research, and toward more democratic programs, planning, and policy. The partnerships described in these pages reflect a deep commitment to patients' lives, and to the future of public health.p>