Rural health care looks to the future. Issues in the institutionalization and management of rural health care: making technology appropriate

Proceedings of the Royal Society of London. Series B, Containing Papers of a Biological Character
F L Golladay, B H Liese

Abstract

Experimental projects have demonstrated the technical feasibility of systems of accessible, affordable health care. These projects have relied extensively on non-professional community health workers. However, large-scale implementation of these schemes will require new management procedures that are both responsive to rural health needs and congruent with national institutions. This paper identifies the need to establish institutional mechanisms to mobilize essential inputs, promote acceptance by beneficiaries, maintain quality standards, recruit and retain field staff, and achieve accountability for resources. It then outlines methods for developing these institutions. It stresses the need for both formal, bureaucratic organizations and informal organizations of clients. It also identifies the need to consider administrative and institutional resources in determining the appropriateness of a health care technology.

References

Oct 19, 1977·Proceedings of the Royal Society of London. Series B, Containing Papers of a Biological Character·F L Golladay, C K Koch-Weser

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Citations

Jan 1, 1990·International Journal of Health Services : Planning, Administration, Evaluation·R Chernomas
Jan 1, 1981·International Journal of Health Services : Planning, Administration, Evaluation·H D Banta, L B Russell
Jan 1, 1982·International Quarterly of Community Health Education·J W Ratcliffe, J C Merrill
Jan 1, 1985·International Quarterly of Community Health Education·J W Ratcliffe
Jan 3, 1994·Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management·A A Oppenberg
Nov 27, 2014·International Journal for Equity in Health·De-Chih LeeRuwei Hu
Jun 15, 1984·Documenta Ophthalmologica. Advances in Ophthalmology·V Klauss
Jan 5, 1987·Medical Care Review·K M Langwell, L M Nelson
May 7, 2014·Journal of the American Medical Informatics Association : JAMIA·Cleo A Samuel
Jan 1, 1993·Tropical Doctor·A M Costello, M C Foster

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