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  1. Rebuilding Community and Regional Collaboration : The Kingsport, Tennessee Experience.

    Article - En anglais

    Background :

    In 1988, business, health care, and community leaders in Kingsport, Tennessee, initiated the Kingsport Area Health Improvement Project (KAHIP) to improve the health status of local citizens.

    KAHIP's efforts continued to move, albeit slowly, until late 1993, when managed care organizations began to deselect hospitals and physicians and competition began to overcome hopes for collaboration.

    In 1994 KAHIP and other community leaders reaffirmed seven principles, including the need for continued dialogue and collaboration.

    By early 1988 ten community improvement teams were functioning, six chartered by KAHIP.

    Mature projects : Four established projects have continued to expand either in scope or through institutionalization in the community or both, including Drive Smart, a collaborative learning project concerned with reducing preventable injuries and death among youth from motor vehicle crashes, and the Network of Employers for Traffic Safety, a public-private partership dedicated to reducing the number of deaths and injuries in the workforce.

    New teams : Four other teams are operating in Kingsport.

    One, the Kingsport Community Alliance Linking Enforcement, Responsibility and Treatment (ALERT), is dedicated to reducing the impact of substance abuse.

    Another, the Community Database Team, works on developing a database focused on community health status information. (...)

    Mots-clés Pascal : Amélioration, Processus, Méthodologie, Information, Santé, Concurrence économique, Système économique, Sciences économiques, Accident circulation, Accident, Toxicomanie, Stratégie, Réseau, Soin intégré, Economie marché, Education santé, Promotion santé, Politique sanitaire

    Mots-clés Pascal anglais : Improvement, Process, Methodology, Information, Health, Competition(economy), Economic system, Economics, Traffic accident, Accident, Drug addiction, Strategy, Network, Managed care, Market economy, Health education, Health promotion, Health policy

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 19/02/1999.