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Community experiments in action: developing community-defined models for reconfiguring health care delivery
Journal of Health Politics, Policy and Law
|August 1, 1997
Summary
Local health care reform is being tested nationwide using a value-based model called the Community Care Network (CCN) Vision. This model emphasizes community-responsive change through multisectoral partnerships and local action.
Area of Science:
- Health Services Research
- Health Policy and Management
- Community Health
Background:
- Health system change in the U.S. is driven by political and policy interactions, influenced by local community and market actions.
- A national demonstration program is evaluating a novel model for local health care reform.
Observation:
- Examined multisectoral partnerships in local and regional contexts demonstrating the CCN Vision.
- Analyzed partnership composition, engagement in various actions, and challenges faced.
- Highlighted examples of schools integrating into the health system as a last resort.
Findings:
- Local health reform involves complex interactions between community-level initiatives and broader policy environments.
- Multisectoral partnerships are key to implementing community-responsive health system change.
- The CCN Vision model provides a framework for testing local health care reform.
Implications:
- Local health system reforms can influence and be influenced by national political and policy contexts.
- Understanding these dynamics is crucial for effective and sustainable health system transformation.
- The study offers insights into the practical application and potential impact of community-based health initiatives.