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(3 reviews) Author: ISBN : 9780813539126 New from $23.00 Format: PDF
Free download PRETITLE Community Health Centers: A Movement and the People Who Made It Happen (Critical Issues in Health and Medicine) [Paperback] POSTTITLE from 4shared, mediafire, hotfile, and mirror link (3 reviews) Author: ISBN : 9780813539126 New from $23.00 Format: PDFThe aftermath of Hurricane Katrina has placed a national spotlight on the shameful state of healthcare for America's poor. In the face of this highly publicized disaster, public health experts are more concerned than ever about persistent disparities that result from income and race.
This book tells the story of one groundbreaking approach to medicine that attacks the problem by focusing on the wellness of whole neighborhoods. Since their creation during the 1960s, community health centers have served the needs of the poor in the tenements of New York, the colonias of Texas, the working class neighborhoods of Boston, and the dirt farms of the South. As products of the civil rights movement, the early centers provided not only primary and preventive care, but also social and environmental services, economic development, and empowerment.
Bonnie Lefkowitz-herself a veteran of community health administration-explores the program's unlikely transformation from a small and beleaguered demonstration effort to a network of close to a thousand modern health care organizations serving nearly 15 million people. In a series of personal accounts and interviews with national leaders and dozens of health care workers, patients, and activists in five communities across the United States, she shows how health centers have endured despite cynicism and inertia, the vagaries of politics, and ongoing discrimination.
This book tells the story of one groundbreaking approach to medicine that attacks the problem by focusing on the wellness of whole neighborhoods. Since their creation during the 1960s, community health centers have served the needs of the poor in the tenements of New York, the colonias of Texas, the working class neighborhoods of Boston, and the dirt farms of the South. As products of the civil rights movement, the early centers provided not only primary and preventive care, but also social and environmental services, economic development, and empowerment.
Bonnie Lefkowitz-herself a veteran of community health administration-explores the program's unlikely transformation from a small and beleaguered demonstration effort to a network of close to a thousand modern health care organizations serving nearly 15 million people. In a series of personal accounts and interviews with national leaders and dozens of health care workers, patients, and activists in five communities across the United States, she shows how health centers have endured despite cynicism and inertia, the vagaries of politics, and ongoing discrimination.
- Series: Critical Issues in Health and Medicine
- Paperback: 192 pages
- Publisher: Rutgers University Press; 1 edition (January 9, 2007)
- Language: English
- ISBN-10: 0813539129
- ISBN-13: 978-0813539126
- Product Dimensions: 0.5 x 6 x 8.8 inches
- Shipping Weight: 9.6 ounces (View shipping rates and policies)
Community Health Centers: A Movement and the People Who Made It Happen PDF
I just read an informative book review about this book in JAMA that I thought others might find useful.
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JAMA. 2009;301(5):551-552.
At first blush, I was skeptical about this little book, because I was expecting an activist work laced with generalizations. Instead, Lefkowitz has produced an annotated history of community health centers in the United States. This history is important, because many physicians who entered practice after the 1960s do not know that few comprehensive health clinics existed in poor communities prior to that decade. The reality was that economically disadvantaged families who could not pay for private physician care had to ride buses across town to inconvenient hospital clinics. There they would wait for additional hours on benches at urban charity hospitals to be seen by residents and instructors who largely thought of them as teaching material. In rural settings, these low-income patients were largely dependent on quick prescriptions by physicians who saw them in racially segregated facilities.
While history has been an especially sleepy subject for me since I was in junior high school, Lefkowitz makes the politics, legislative struggles, and social conflict come alive. The tales she tells about the incidence of parasitic disease, infant mortality, and untreated hypertension and diabetes in rural US populations sound like a novel set in a developing country. These accounts are, however, carefully researched and are supplemented by oral histories to give them flavor and substance. The book quickly picks up momentum and becomes riveting.
Lefkowitz is a health policy researcher who has been a reporter for Newsweek and who has published extensively on the social determinants of health.
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