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Using Performance Monitoring to Improve Community Health Conceptual Framework and Community Experience (1996) / Chapter Skim
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Social Change and Accountability
Pages 21-23

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From page 21...
... SOCIAL CHANGE AND ACCOUNTABILITY Recognizing that health improvement activities and performance monitoring imply the need for change in communities, the committee sought to explore some of the theories of social change and how they might relate specifically to health and health care. It was noted that change is ubiquitous today in health care systems, health care policy, and social policy and is occurring in multiple dimensions.
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From page 22...
... Several tensions are influencing health care: individual versus population health; treatment of illness versus health promotion; meeting health needs versus
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From page 23...
... For example, they expect that new management structures and savings would be short-term outcomes, new ways of developing services for better information would be medium-term outcomes, and improved services and health status would be long-term outcomes. Gaining a better understanding of health care change such as that talking place in Alberta will require additional longitudinal and comparative experience as well as targeted research.
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Key Terms

  • health promotion
  • organizational change
  • community development
  • five programs
  • behavioral change

  • change process
  • natural experiments
  • conflict theory
  • policy identifies
  • resist change

  • currently receive
  • provide unique
  • constant state
  • illness versus
  • considers change

  • actual health
  • improving health
  • require additional
  • social policy
  • management structures

  • study change
  • multiple dimensions
  • health belief
  • versus population
  • increased health

  • developing services
  • comparative experience
  • views behavioral
  • naturalistic approach
  • people frequently


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