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 institutionstandardization, formalization, and controlmay 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.

Addresses the institutional issues in community-based health care. Explores the theoretical and practical considerations of "institutionalizing" a community-based model to address the limitations associated with traditional organizations of health care. Explains implications for patients, health care providers and institutions of implementing a community-based approach to health care

Autorentext
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).

Inhalt
Introduction.- A Community-Based Organization.- Establishing Community-Based Primary Health Care.- Community-Based Funding and Budgeting: Participatory Budgeting as a Transformative Act.- Aims of a Community-Based Research Program.- Training Community-Based Health Workers.- Creating a Community Health Worker Training Program.- Is the Affordable Care Act Encouraging Hospitals to Engage their Communities.- Community-Based Political Interventions.- Re-Examining the Role of Patients in Community-Based Interventions.- Work as Health: Tensions of Imposing Work Requirements to Medicaid Patients in the United States.- Overcoming Institutional Barriers Faced by Community-Based Health Care Institutions.- Conclusion.