Organizing the public health-clinical health interface: theoretical bases.

Medicine, Health Care, and Philosophy
Michèle St-PierreJacques-Bernard Gauthier

Abstract

This article addresses the issue of the interface between public health and clinical health within the context of the search for networking approaches geared to a more integrated delivery of health services. The articulation of an operative interface is complicated by the fact that the definition of networking modalities involves complex intra- and interdisciplinary and intra- and interorganizational systems across which a new transversal dynamics of intervention practices and exchanges between service structures must be established. A better understanding of the situation is reached by shedding light on the rationale underlying the organizational methods that form the bases of the interface between these two sectors of activity. The Quebec experience demonstrates that neither the structural-functionalist approach, which emphasizes remodelling establishment structures and functions as determinants of integration, nor the structural-constructivist approach, which prioritizes distinct fields of practice in public health and clinical health, adequately serves the purpose of networking and integration. Consequently, a theoretical reframing is imperative. In this regard, structuration theory, which fosters the simultaneous study of ...Continue Reading

References

Jul 28, 1984·Lancet·R G Cooper, D A Evans
Jul 1, 1984·Medical Informatics = Médecine Et Informatique·S Evans
Dec 10, 1999·Neurophysiologie clinique = Clinical neurophysiology·F Isch
Feb 8, 2000·Developments in Health Economics and Public Policy·M Lynch
Mar 29, 2000·Family Practice·N Freemantle
Jun 1, 2000·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·C Chaix-CouturierP Durieux
Aug 19, 2000·Hematology/oncology Clinics of North America·E T Hawk, S M Lippman
Oct 21, 2000·Patient Education and Counseling·H van HoutR Grol
Feb 22, 2001·The American Journal of Medicine·C C WeeJ S Haas
Feb 24, 2001·Social Science & Medicine·P Tovey, J Adams
Mar 29, 2001·Annual Review of Public Health·T L Visscher, J C Seidell
Jun 16, 2001·BMJ : British Medical Journal·D WilkinK Smith
Jul 23, 2002·Health Services Research·Leiyu ShiJerri Regan
Jul 26, 2002·Social Science & Medicine·Sally MacintyreSteven Cummins
Aug 23, 2002·Social Science & Medicine·Willem Tousijn
Feb 7, 2003·Social Science & Medicine·Renée Gravois Lee, Theresa Garvin

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Citations

Feb 18, 2015·JMIR Research Protocols·Clémence DallaireElizabeth Bernardino
Aug 30, 2011·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Lorian E HardcastleLawrence O Gostin

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