The idea of person-centred health systems is widely advocated in political and policy declarations to better address health system challenges. A person-centred approach is advocated on political, ethical and instrumental grounds and believed to benefit service users, health professionals and the health system more broadly. However, there is continuing debate about the strategies that are available and effective to promote and implement 'person-centred' approaches. This book brings together the world's leading experts in the field to present the evidence base and analyse current challenges and issues. It examines 'person-centredness' from the different roles people take in health systems, as individual service users, care managers, taxpayers or active citizens. The evidence presented will not only provide invaluable policy advice to practitioners and policymakers working on the design and implementation of person-centred health systems but will also be an excellent resource for academics and graduate students researching health systems in Europe. This title is available as Open Access on Cambridge Core.
Published in 1998. This book brings together both the history of community involvement and health and ideas and proposals for further developing the potential of this approach. It explores the roots and branches of community involvement, drawing together different strands from within and outside the NHS. It explores the impact of the rapid changes in the NHS and in local government on local communities and patients and ways in which current policy can enhance and enable the general public to be more involved in their own health and effective service provision. Ideas, models and case studies are used to illustrate practical ways in which skills and knowledge can be enhanced.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.
Empowered youth CAN and DO make a difference! Young people become empowered by their participation in the institutions and decisions that affect their lives—which in turn can lead to real positive change in the community. Youth Participation and Community Change presents leading authorities providing the latest research and effective approaches on how young people can be drawn to participate in organizations and communities. The diverse perspectives discuss youth participation in today’s society, the models and methods of its practice, the roles of youth and adults, and the future of youth participation and community in a diverse democracy. Approaches include those which promote participatory community-based research and evaluation, and involve youth groups in poor and racially segregated areas. The mainstream view of much of today’s youth is that of being victims of society rather than a being a possible positive influence on society as a whole. Youth Participation and Community Change seeks to shift the viewpoint from youth as being problems to empowering them to enact positive social change. The book explores community agency efforts to involve young people, and the process by which youth civic engagement promotes empowerment. Social work and public health approaches are examined, with cogent discussions on conceptual and theoretical issues. Empirically based case studies illustrate best practices and interdisciplinary work that draws upon psychology, sociology, social work, public health, education, and related academic disciplines and professional fields. Topics in Youth Participation and Community Change include: key dimensions of critical youth empowerment a case study of youth leadership development in Hawaii—the Sariling Gawa Youth Council the Lexington Youth Leadership Academy—a leadership development and community change program a new model for youth civic engagement in Hampton, Virginia three projects that engage urban youth in community change through participatory research youth engagement strategies and the benefits of youth participation in health research ten projects which used photovoice to represent, advocate, and enhance community health a participatory action research process with youth in Bosnia and Herzegovina the Growing Up in Cities project of UNESCO training students as facilitators for the Youth Empowerment Strategies (YES!) project four characteristics of engagement in the research literature and a school-community-university project differences in developmental outcomes among youth organizing, identity-support, and traditional youth development agencies Youth Participation and Community Change is thought-provoking, enlightening reading that is perfect for organizers, planners, policymakers, advocates, youth service workers, agency administrators, educators, students, and professionals in psychology, sociology, social work, urban planning, public policy, and public health.
This book provides a clear and comprehensive introduction to the developments which have brought about a new, global wave of inclusiveness and democracy. From Brazil to Bangladesh, a new form of participatory politics is springing up. Featuring contributions detailing how such movements have worked in Latin America, Europe and Africa, the book analyzes the impact they have had on the democratic process. By opening up the political sphere in this way, the authors contend, these grassroots movements truly have created "spaces for change."
Health Promotion Practice explores the issue of how such an approach to health promotion practice can improve a community's success towards achieving healthier conditions through its own actions. Placing empowerment at the heart of health promotion practice, and offering advice for health promoters who accept the challenge to work in such a way, Health Promotion Practice defines key concepts of health, health promotion and community empowerment.
