Human Rights

Download Public Health in a Retrenchment Era by Helen J. Muller PDF

By Helen J. Muller

Public healthiness in a Retrenchment period illustrates the political and fiscal fact of constructing cutbacks in conventional government-sponsored courses. This e-book severely examines the problems bearing on cutbacks via concentrating on la County, which has one of many biggest public healthiness provider structures within the country, and explains how cutbacks have been legitimized and carried out. Muller and Ventriss suggest that the retrenchment method deals a chance for policymakers and voters alike to seriously study new offerings that may now not have existed during times of economic growth. They criticize the current specialise in managerialism and suggest an alternate strategy. referred to as the co-possibility version, it complements a extra humane and major coverage process in making cutbacks. This version hyperlinks the citizen, policymaker, and public association in a brand new dating, fostering an atmosphere for coverage experimentation and innovation during this retrenchment period.

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Series. ) 10 9 8 7 6 5 4 3 2 1 Page v to our mothers Thea Muller and Agnes L. Ventriss and in memory of Donald E. Ventriss Page vii Contents Tables ix Figures xi Preface xiii 1. The Challenge for Public Health 1 Introduction 1 Retrenchment as an Opportunity 2 Brief Historical Overview 4 Values of the Public Health Tradition 12 Human Service Organization Characteristics 14 Contemporary Organizational Issues 18 Contemporary Health Policy 22 Underlying Values of Retrenchment 28 The Challenge 30 2.

Client health has subjective and behavioral components which are inherently different from inanimate physical objects. The uncritical use of organizational strategies and technologies that do not address these distinctions is a misplacement of theory and practice. The "client biography" is another useful concept for analyzing HSOs. Mark Lefton and William Rosengren view clients as integral actors in HSOs, who influence the structure and functions of the organization. 16 The "client biography" is the core of their analytical scheme.

We do not dismiss the importance of efficiency in government; but we are concerned about a tendency toward the lack of discussion on such issues as social equity, social justice, and meaningful citizen participation. These substantive issues will not go away. As administrators and politicians quickly discover, no group wants its program or service cut. In such a political climate, it is no wonder that policy makers try to rationalize their decisions on technical and managerial grounds, even though in most cases the real reasons for the cutbacks are primarily political.

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