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Does Community Participation Work? : A Study on the Impact of Health Care Reform in Chile

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초록

Community participation in health has been praised as a new way of improving health inequality in developing countries for many decades. This paper is an attempt to evaluate community participation programs in health focusing on two intercultural health hospitals in IX Región of Chile. After exploring the process of program building and its impact on the quality of service, this paper concludes that a community participation program with stronger participation resulted in higher patient satisfaction. The author expects such finding to contribute to more comprehensive understanding of the impact of participation in health programs.

Abstract

Community participation in health has been praised as a new way of improving health inequality in developing countries for many decades. This paper is an attempt to evaluate community participation programs in health focusing on two intercultural health hospitals in IX Región of Chile. After exploring the process of program building and its impact on the quality of service, this paper concludes that a community participation program with stronger participation resulted in higher patient satisfaction. The author expects such finding to contribute to more comprehensive understanding of the impact of participation in health programs.

참고문헌 (10)

  1. Badgley, Robin F, "Public Health: Trends and Challenges. in: The Crisis of Public Health: Reflections for the Debate" (1992), Pan American Health Organization
  2. "“Cuando la Salud Depende de un Número(1998): Humillante Espera (When health depends on a number: Humiliating Wait)”, Austral, Febrary 8th", ~ (1998)
  3. Coordinadora Comunal de Salud, "Propuesta: “Diseño, Edificación e Implementación de un Modelo de Atención en Salud: Hospital Intercultural de Nueva Imperial, IX Región”", ~ (2002)
  4. Instituto de Estudios Indígenas, "Población Mapuche: Tabulaciones Especiales: Total País, Región Metropolitana, Región Araucania" (1998), Universidad de la Frontera
  5. Instituto Nacional de Estadística(INE), "Censo Nacional de Población y Vivienda" (2003), Chile
  6. Morgan, Lynn, "Community Participation in health: The politics of primary care in Costa Rica" (1993), Cambridge University Press
  7. Paley, Julia, "Marketing Democracy: Power and Social Movements in Post-Dictatorship Chile" (2001), University of California Press
  8. Pan American Health Organization, "Makewe-Pelale: Un Estudio de caso en la complementriedad en Salud", ~ (2001)
  9. Ugalde, Antonio, "Ideological Dimension of Community Participation in Latin American Health Prorams", Social Science and Medicine, 21(1), pp.41~53 (1985)

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