Checkoway B, Doyle M
J Health Polit Policy Law. 1980 Summer;5(2):213-26. doi: 10.1215/03616878-5-2-213.
This article analyzes the efforts of health care consumers to organize independently of, but with reference to, the Health Systems Agency in east central Illinois. Beginning with a tactical investigation which disclosed a lack of effective public participation, consumers formed an organization which conducted a series of community forums to provide information and generate publicity about local health care issues, sponsored training workshops for consumer leaders and HSA board members, worked to delay the final designation of the agency, and organized to take control of the local HSA board. They recruited a large number of new HSA members, enlisted provider and consumer candidates to run for the board, conducted a vigorous election campaign, and finally claimed a majority of seats. Among the conclusions drawn are that health care planning cannot be considered apart from a context of politics, and that community organization is important for consumers wishing to exercise power.
本文分析了伊利诺伊州中东部医疗保健消费者独立于但参考卫生系统机构进行组织的努力。从一项揭示缺乏有效公众参与的策略性调查开始，消费者成立了一个组织，该组织举办了一系列社区论坛，以提供有关当地医疗保健问题的信息并进行宣传，为消费者领袖和卫生系统机构董事会成员举办培训研讨会，努力推迟该机构的最终指定，并组织起来控制当地卫生系统机构董事会。他们招募了大量新的卫生系统机构成员，征集医疗服务提供者和消费者候选人竞选董事会，开展了激烈的竞选活动，最终获得了多数席位。得出的结论包括，医疗保健规划不能脱离政治背景来考虑，对于希望行使权力的消费者来说，社区组织很重要。
