The Pholela Health Centre: A Progress Report

Kark, Sidney L.; Cassel, John C.

doi:10.2105/ajph.92.11.1743

Cited by 22 publications

(19 citation statements)

References 2 publications

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“…Researchers first described the implementation of the COPC approach in 1952 and have again many times thereafter. 7 However, the application of its methodology is not widespread. Accounts of a complete COPC cycle are rare, and they are almost nonexistent in Europe.…”

Section: In1992charlesboelenchiefmedicalmentioning

confidence: 99%

An Interdisciplinary Community Diagnosis Experience in an Undergraduate Medical Curriculum: Development at Ghent University

et al. 2008

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Since 2002, the medical curriculum at Ghent University has incorporated a community diagnosis exercise, teaming medical students with master of social work and social welfare studies students. The course focuses on the interaction between the individual and the community in matters of health and health care. During one week, small groups of students visit patients and their caregivers in six underserved urban neighborhoods, and they combine these experiences with public health data, to develop a community diagnosis. Local family physicians and social workers monitor sessions. The course requires students to design an intervention tackling one community health issue. At the end of the course, the students present their diagnoses and interventions to community workers and policy makers who provide feedback on the results. In the authors' experience, medical and social work students all value the joint learning experience. The occasional culture clash is an added value. The one-week course is very intensive for students, mentors, and cooperating organizations. Although students criticize time restraints, they feel that they reach the outlined objectives, and they rate the overall experience as very positive. The authors find that this interdisciplinary, community-oriented exercise allows students to appreciate health problems as they occur in society, giving them insight into the interaction of the local community with health and health care agencies. Combining public health data with experiences originating from a patient encounter mimics real-life primary care situations. This campus-community collaboration contributes to the social accountability of the university.

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Section: In1992charlesboelenchiefmedicalmentioning

confidence: 99%

An Interdisciplinary Community Diagnosis Experience in an Undergraduate Medical Curriculum: Development at Ghent University

et al. 2008

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“…This made him inclined to believe that nurturing social relationships is a precondition for healthy human development. Cassel's personal experiences as a primary care physician for black South Africans in the 1950s who were struggling to hold onto their traditional social support systems in the face of mounting pressures from Apartheid and rapid urbanization likely further informed his view that powerful social stressors reduce population-level host resistance by eroding vital social support systems (2). The Jim Crow South provided him with another example of how government-sanctioned subordination of blacks could undermine social bonds among the latter so severely that negative health effects attributable to weak community support systems would be much greater for blacks than whites (7,9,10).…”

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confidence: 99%

Invited Commentary: Cassel's “The Contribution of the Social Environment to Host Resistance”—A Modern Classic

James¹

2017

American Journal of Epidemiology

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“…A assistência clínica, embora essencial, cumpria papel acessório (Tollman, 1991;Susser, 1999). Moradores externos aos limites estabelecidos tinham acesso ao atendimento de doenças, gestação e puericultura, mas o 'programa de saúde familiar e cuidados médicos' se restringia à comunidade local, ficando cada médico responsável por quatrocentas ou quinhentas famílias (2.500 a 3.500 pessoas; Kark, Cassel, 1999). Como esses autores descrevem, as atividades empreendidas renderam grande impacto nos níveis de saúde da comunidade, entre eles o estado nutricional da população, nesse caso com o apoio do CS na organização de uma cooperativa comunitária de sementes para cultivo de hortas de subsistência.…”

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Centros de Saúde: ciência e ideologia na reordenação da saúde pública no século XX

Mello

Viana

2011

Hist. cienc. saude-Manguinhos

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Os Centros de Saúde surgem nos EUA em torno de 1910, com caráter de assistência social adida a algum serviço médico. Sua separação inicial entre medicina preventiva e curativa foi superada pela medicina integral na década de 1940, quando o discurso dos Centros de Saúde se insere na educação médica. Nos anos 1960 a visão de combate à pobreza daria ensejo à medicina comunitária. No Brasil este ideário foi difundido desde a década de 1920 e fortalecido pela política varguista de construção nacional. Mas foi o Serviço Especial de Saúde Pública o maior responsável por lhe conferir forma prática e conceitual no país.

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The Pholela Health Centre: A Progress Report

Cited by 22 publications

References 2 publications

An Interdisciplinary Community Diagnosis Experience in an Undergraduate Medical Curriculum: Development at Ghent University

An Interdisciplinary Community Diagnosis Experience in an Undergraduate Medical Curriculum: Development at Ghent University

Invited Commentary: Cassel's “The Contribution of the Social Environment to Host Resistance”—A Modern Classic

Centros de Saúde: ciência e ideologia na reordenação da saúde pública no século XX

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