Community-Based Health Interventions in an Institutional Context

1. Front Matter

   Pages i-xi

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2. Introduction

   • John W. Murphy

   Pages 1-10

3. A Community-Based Organization

   • John W. Murphy

   Pages 11-21

4. Establishing Community-Based Primary Health Care

   • Karen A. Callaghan

   Pages 23-38

5. Community-Based Funding and Budgeting: Participatory Budgeting as a Transformative Act

   • Jung Min Choi, John W. Murphy, Ramsey Dahab, Charlene Holkenbrink-Monk

   Pages 39-51

6. Aims of a Community-Based Research Program

   • Steven L. Arxer

   Pages 53-62

7. Training Community-Based Health Workers

   • Tashina J. Vavuris

   Pages 63-72

8. Creating a Community Health Worker Training Program

   • Dawn Graham, Kerri Shaw, Lesli Johnson

   Pages 73-89

9. Is the Affordable Care Act Encouraging Hospitals to Engage their Communities? Experiences from Appalachian Ohio

   • Berkeley Franz, Daniel Skinner, Danielle Dukes

   Pages 91-107

10. Community-Based Political Interventions

    • Karie Jo Peralta, Krista McCarthy Noviski

    Pages 109-123

11. Re-examining the Role of Patients in Community-Based Interventions

    • Khary K. Rigg, Amanda Sharp, Kyaien O. Conner, Kathleen A. Moore

    Pages 125-138

12. Work as Health: Tensions of Imposing Work Requirements to Medicaid Patients in the United States

    • Elaine Hsieh, Eric Kramer

    Pages 139-157

13. Overcoming Institutional Barriers Faced by Community-Based Healthcare Institutions

    • Airín D. Martínez

    Pages 159-178

14. Conclusion: A Re-evaluation of Institutionalized Health Care

    • Steven L. Arxer

    Pages 179-184

15. Back Matter

    Pages 185-190

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Community-Based Health Interventions in an Institutional Context examines challenges of "institutionalizing" community-based health care. While the community-based or localized model is growing in popularity and importance in the United States, in practice it must often be brought in to larger institutions in order to grow to scale. The typical goals of an institution—standardization, formalization, and control—may be seen as antithetical to those of a community-based healthcare provider, such as spontaneity, customization, and flexibility. 

The contributions to this work raise questions about how the community-based model can be scaled up through institutions, and how "institutionalization" can be rethought from a bottom-up approach. They provide not only an overview of community-based organizations, but also delve into practical topics such as establishing budgets, training workers, incorporating technology, as well as more theoretical topics like goal-setting, policy effects (like the ACA), and relationships between patient and community.

This work will be of interest for researchers interested in exploring the community-based health care model, as well as practitioners in health care and health policy.

• Affordable Care Act (ACA)
• community-based health care
• community-based work
• community well-being
• community-based work in institutions
• institutions
• community-based Organization
• community-based Partnerships
• community-based Health Workers
• community-based Curriculum
• health worker training
• technology and Community-based work
• research program
• community-Based Political Interven
• Hospitals and Community-based Planning
• Community-Based Health Care Institution
• Institutionalized Health Care
• health care
• hospitals and health providers
• public health

• Department of Sociology and Psychology, University of North Texas at Dallas, Dallas, USA

  Steven L. Arxer

• Department of Sociology, University of Miami, Coral Gables, USA

  John W. Murphy

Steven L. Arxer is assistant professor of sociology at the University of North Texas at Dallas. He earned his doctoral degree from the University of Florida. He has published papers in the journals of Humanity & Society and Qualitative Sociology Review and has contributed to several edited volumes, including The Symbolization of Globalization, Development, and Aging (Springer, 2013). His research interests are globalization, NGOs, and gender mainstreaming.

John W. Murphy is professor of sociology at the University of Miami. He received his doctoral degree in 1981 from Ohio State University. His research interests are sociological theory, social philosophy, and globalization. He has published books related to the community mental health movement, the computerization of social service agencies, and contemporary social theory, including The Symbolization of Globalization, Development, and Aging (Springer, 2013).

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