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American Health Care: Paradigm Structures And The Parameters Of Change, Allen W. Imershein

The Journal of Sociology & Social Welfare

Recent commentary on the health care scene in the U.S. has moved increasingly toward explanations of why little or no change has occurred despite many declarations of "crisis." From Alford's (1975) elitist analysis in Health Care Politics to Navarro's (1976) marxist analysis in Medicine Under Capitalism, critics in and out of the social sciences have tried to make sense of the array of current problems and the apparent lack of response to or change in them. These analyses are in striking contrast to earlier commentaries (e.g., Schwartz, 1971; Garfield, 1970; Anderson, 1972; Citizens Board, 1972) which, while highly critical of …

The Public And Care By Non-Physicians: Health Policy Consideration, Bebe F. Lavin

The Journal of Sociology & Social Welfare

In an effort to resolve what some define as a crisis in health care, medical paraprofessionals have become an increasing part of the primary care scene. As the training and use of paraprofessionals expands there has been growing insistence that much of what office-based physicians do could be handled as well or better by these non-physicians. If it is health policy to encourage the use of paraprofessionals to alleviate the shortages and maldistribution of primary care doctors, acceptance of these personnel by the public is a critical issue.

A study of the public in a Midwest area suggests considerable variability …

Organizational Structure And Professional Norms In An Alternative Health Care Setting: Physicians In Health Maintenance Organizations, Judith K. Barr, Marcia K. Steinberg

The Journal of Sociology & Social Welfare

The development of new organizational forms for the delivery of health and medical care in the U.S. includes health maintenance organizations (HMOs), designed to provide a set of comprehensive basic health services to a defined population for a fixed prepaid premium. As complex organizations, HMOs have the potential for limiting the autonomy of professionals working in them. This paper describes the legal requirements and organizational mechanisms under which physicians practice in HMOs and considers the potential for conflict between the organization and professional norms.

On the basis of document and interview data from nine HMOs, it appears that mechanisms developed …

The Paradoxes Of Health Planning, Bonnie Morel Edington

The Journal of Sociology & Social Welfare

The National Health Planning Act of 1974 designated 200 Health Systems Agencies (HSAs) nationally and a State Health Planning and Development Agency in each state. Components of the law are analyzed to illustrate its ambiguities and contradictions. The components analyzed are: the findings which led to the passage of the law; the law's purpose; the ten national health priorities; the National Guidelines for Health Planning; the purposes of the HSAs and the data they are to assemble and analyze. The major contradiction is that agencies designated to focus on cost containment in health care are expected to make health care …

The Good Life: Who's Practicing Healthy Life-Styles?, Ann S. Ford, W. Scott Ford

The Journal of Sociology & Social Welfare

With the birth of scientific medicine in the late 1800s, the responsibility for 'health' was increasingly removed from the individual and replaced by a dependence upon medical intervention and required public health measures. Individual responsibility was viewed largely in terms of assuring accessibility for the individual (and his/her family) to the professional health delivery system. The need for health care, therefore, was seen as episodic necessity -- not as a continuing individual responsibility.

Journal Of Sociology & Social Welfare Vol. 7, No. 3 (May 1980)

The Journal of Sociology & Social Welfare

SPECIAL ISSUE - CHALLENGE AND INNOVATION IN AMERICAN HEALTH CARE POLICY

• Editor' s Introduction
• American Health Care: Paradigm Structures and the Parameters of Change - ALLEN W. IMERSHEIN
• The Public and Care by Non-Physicians: Health Policy Considerations - BEBE F. LAVIN
• Organizational Structure and Professional Norms in an Alternative Health Care Setting: Physicians in Health Maintenance Organizations - JUDITH K. BARR and MARCIA K. STEINBERG - The Paradoxes of Health Planning - BONNIE MOREL EDINGTON
• Veteran's Medical Care: The Politics of an American Government Health Service - JUDITH N. LASKER
• Mission Neighborhood Health Center: A Case Study of the Department …

Mission Neighborhood Health Center: A Case Study Of The Department Of Health Education And Welfare As A Counterinsurgency Agency, Thomas S. Bodenheimer

The Journal of Sociology & Social Welfare

In the 1960's, working class communities all over the country, particularly minority inner city neighborhoods, exploded in violent anger. The federal government responded with a pacification or cooling-out program: the War on Poverty. The War on Poverty provided federal funds to bring a few programs into the community, to create a few jobs, and to buy off working class leaders who were a threat to those in power. In the course of this program of counterinsurgency, the War on Poverty took over a slogan of the 1960's, "community control," and turned it into its opposite; rather than control by the …

Fifteenth International Congress On Medieval Studies, Medieval Institute, Western Michigan University

International Congress on Medieval Studies Archive

The printed program of the 15th International Congress on Medieval Studies (May 1-4, 1980).

Veterans' Medical Care: The Politics Of An American Government Health Service, Judith Lasker

The Journal of Sociology & Social Welfare

The history of veterans' benefits and services in the United States is reviewed; it demonstrates their responsiveness to dominant political, economic, military and medical interests. The ideological position that social services must be "deserved" is also seen to be an important influence on the V.A. system. The consequent inaccessibility of V.A. medical care to most veterans and almost all non-veterans raises questions about the appropriateness of the V.A. system as a model for national health care.

Changing Physician Ideologies On The Care Of The Dying: Themes And Possible Explanations, John Macdougall

The Journal of Sociology & Social Welfare

An analysis of changing physician ideologies regarding the care of elderly dying patients, as expressed in technical journals read by American physicians. Markedly more titles concerning terminal care are found in Index Medicus in 1968- 78 than in 1960-67. In one journal, physicians are only after 1964 urged to tell patients openly about their condition and after 1969, to improve cooperation within professional teams. Two explanations of these data are tentatively explored: 1) a Parsonian explanation, whereby medical ideologies reflect professional autonomy and the influence of internalized moral norms; 2) a Marxist explanation, whereby medical ideologies reflect physicians' transformation from …

The Impact Of Consumerism On Health Care Change: Alternatives For The Future?, Allen W. Imershein, Eugenia T. Miller

The Journal of Sociology & Social Welfare

The quest for consumer participation in the management of health care delivery may have experienced its first signs of success, but the implications of that success are as yet unclear. The establishment of consumer majorities on the newly developed health systems agency (HSA) boards was seen as an important milestone in the development of the consumer movement in America over the last ten years. The initial wave of optimism over the Great Society programs that in part gave birth to the consumer movement has long since vanished, but some of the organizational results of those attempts at innovation have become …

Wmu Board Of Trustees Regular Meeting April 18, 1980, Wmu Board Of Trustees

WMU Board of Trustees Meetings

• Acceptance of the Agenda
• Minutes
• Petitions and Communications
• Remarks by the President
• Academic Personnel Report
• Non-Academic Personnel Report
• Gift and Grant Report
• Reorganization of the Health Center Board
• Student Housing Rates
• Departmental Name Changes
• Disposal of Surplus, Salvage, Scrap and Worthless Property
• Board Committee Reports
• Associated Student Government Report
• Library Report
• Public Comments
• Adjournment

Western News, April 17, 1980, Western Michigan University

Western News (1972-2018)

Story highlights: 9,000 expected for commencement Saturday, Kohrman Hall dedication Friday, Final spring registration, 'Fanfairs,' Gold Company schedule, Libraries; Student Center hours set, Fulbright awards applications May 1

Western News, April 10, 1980, Western Michigan University

Western News (1972-2018)

Story highlights: Chinese educators to research here in 1980-81, Kohrman Hall dedication April 18, Warfield speaks on PUSH today, Faculty Senate to consider final exam week May 1, U Grand Chorus to sing with K Symphony, Name 1980-81 WIDR directors

Western News, April 3, 1980, Western Michigan University

Western News (1972-2018)

Story highlights: Dwarikesh directing exploration of Indian caves, Harvard economist to speak Wednesday, University; AAUP exchange proposals, Major award to DIC for series on regional poets, Deluca works still on display at church

The Chemical Buildup In A Closed Water System Using Recycled Fiber Furnish, Stephen R. Tremont

Paper Engineering Senior Theses

In recirculating whitewater in a closed water system, the solids will increase leading to operational problems such as corrosion, scale, reduced drainage rates, reduced wire life, increased temperatures, felt plugging, foam, and dirt. In dealing with these problems, whitewater samples from a conventional seven vat cylinder board machine were tested for chemical composition. The machine operates on a closed water loop and produces approximately 250 tons per day recycled boxboard. Tested anions included chloride, silica, phosphates, nitrates, sulfate, sulfide and tannin-lignin. Cations analyzed included calcium, barium, iron, aluminum and copper. Tests were conducted over an eighteen day machine running period …

Read A Book In An Hour, John A. Childrey Jr.

Reading Horizons: A Journal of Literacy and Language Arts

Why not use a wholistic technique to introduce a novel? Why not tear the chapters out and discover, not only a novel, its plot, themes, characters, but also deal with those elements as a group discovery? The technique should resemble a treasure hunt where the process of "getting there" is as exciting as arriving.

Reading Horizons Vol. 20, No. 3

Reading Horizons: A Journal of Literacy and Language Arts

Complete issue of Reading Horizons volume 20, issue 3.

Focus On Administration: An Internship Experience, Cheryl Lynn Holmes

Masters Theses

No abstract provided.

Biological Studies On Some Ghanats Of Iran, Fardin Oliaei

Masters Theses

The present study was undertaken to monitor the quality of drinking water in the ghanats of Tehran during 1978-1979. Four sites were chosen, and various limnological parameters were investigated.

Physical-chemical analyses were evaluated to determine the composition of the water. There was no significant pollution related to chemical-physical parameters.

Planktonic samples were analyzed with the aid of a Sedgewich-Rafter counting cell. A total of 47 genera were found in all four ghanats.

The planktonic population declined dramatically in winter. Mean diversity and equitability of the algae showed no significant level of pollution and degradation in the study areas.

Bacterial content …

A Behavioral Parent Training Follow-Up Using Direct Observation And Audio-Taping In The Home Setting, Michelle Fedko Nelson

Masters Theses

No abstract provided.

The Effects Of Staff Training, Incentive, And Information And Feedback On Incidence Of Vandalism In A Dormitory Setting, Donald G. Landeck

Masters Theses

The effects of staff training, incentive, and information and feedback on incidence of vandalism were compared in a four dormitory complex. The staff training condition was implemented on resident advisors and taught alcohol education, confrontation skills, and programming skills. For the incentive dormitory, residents received money in a floor fund which was then exchanged for back-up reinforcers. Residents in the information and feedback dormitory were prompted to reduce vandalism via flyers, activities, and a feedback chart posted on each floor. All dormitories experienced an increase in the drinking age from 18 to 21 years of age during the second semester …

The Relationship Between Selected Demographic Characteristics And Mental Health Board Members' Endorsement Of Community Mental Health Ideology, Kathryn S. Thiel

Dissertations

No abstract provided.

Self Reported Job Functions Of Psychologists And Other Mental Health Workers In Michigan's Community Mental Health Settings, David J. Sluyter

Dissertations

No abstract provided.

Underutilization Of Temporary Employees As A Determinant Of Turnover, Elizabeth De La Ossa

Dissertations

No abstract provided.

The Amelioration Of Interpersonal Perceptual Accuracy And Psychological Adjustment Of Psychiatric Outpatients Through Brief Perception Therapy: Three Case Studies, Carole Marie Bullmer

Dissertations

No abstract provided.

A Multiple-Baseline Analysis Of Social/Academic-Skills Training Across Different Stimulus Conditions: Generalization As A Function Of Stimulus Diversity, Stanley R. Carlock

Masters Theses

No abstract provided.

Development Of A Model Of Technical Education For The Country Of Malawi, Tommy H. Nkungula

Dissertations

The social, political, and economic development of Malawi has brought with it rising expectations among the people, especially the youth. These aspirations cause the youth to quest for better food, clothing, housing, health and education. However, in order to escape from the poverty and misery there must be greater emphasis on the preparation of the youth for gainful employment. This calls for restructuring of the present educational system to make it suited to the needs of the people in Malawi. But to develop a system geared to providing individuals with skills necessary to enhance their human expectations and economic development …

Glucocorticoid Receptors In Liver Cytosol Of Adrenalectomized Diabetic And Nondiabetic Chinese Hamsters, Richard E. Gibson

Masters Theses

The binding characteristics of glucocorticoid receptors in the liver cytosol of Chinese hamsters of the BE, BD (diabetic), and AV (nondiabetic) lines were studied and compared using a charcoal adsorption technique and ³H-dexamethasone. High affinity receptors(K_d ≃ 3 x 10^-9 M) were found with concentrations of 180 fmoles/mg protein in the nondiabetic and 260 fmoles/mg protein in the diabetic hamsters. Behavior of the receptor-steroid complex in 5 to 20% sucrose gradients of low and high salt concentrations (0.0 and 0.3 M KCl) and the competitive binding of other steroids were consistent with findings for rat liver glucocorticoid …

Leadership In Environmental Quality Organizations, Stephen A. Cannell

Masters Theses

No abstract provided.