Case study investigations of projects identified with the Community Access to Child Health (CATCH) Program were conducted to illustrate the range of achievements of CATCH and to identify those elements related to successful or unsuccessful implementation.
We developed a purposive sample of 12 projects, selected based on time of initiation (1989-1995), level of intensity of involvement in CATCH, project locus (statewide or local), nature of program service (s), project setting, and target population (s).
Two investigators spent approximately 1.5 days at each site using a preestablished case study guide that included document review and multiple in-person interviews.
A total of 171 interviews were conducted with project leadership and staff, community and institutional partners, and public health officials.
In seven communities, we also met with individuals receiving project services (consumers).
The premise of CATCH that with information, support, and tools, pediatricians can be agents of change in their communities was confirmed.
The CATCH pediatricians with whom we met capitalize on their status in the community as physicians, their expertise, and their programmatic and political connections to create opportunities to expand and improve health and social services for children.
The specific leadership of these pediatricians is often key in overcoming political and cultural barriers to implement system changes. (...)
Mots-clés Pascal : Programme sanitaire, Accessibilité, Soin, Service santé, Etats Unis, Amérique du Nord, Amérique, Nourrisson, Homme, Enfant, Rôle professionnel, Médecin, Pédiatrie, Santé communautaire
Mots-clés Pascal anglais : Sanitary program, Accessibility, Care, Health service, United States, North America, America, Infant, Human, Child, Occupational role, Physician, Pediatrics, Community health
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0485453
Code Inist : 002B30A03B. Création : 22/03/2000.