Conclusion: A Re-evaluation of Institutionalized Health Care

  • Steven L. ArxerEmail author
Part of the International Perspectives on Social Policy, Administration, and Practice book series (IPSPAP)


The final chapter emphasizes the need for a re-evaluation of institutionalized health care. Drawing from the chapters described above, the benefits of institutionalizing community-based health projects are illustrated. To the extent that community-based efforts are described as substantially different from conventional health practices, health institutions must be conceptualized and operationalized to preserve the intentions of communities. Furthermore, an entirely new ethic of health care must be promoted. In short, a careful examination of how community-based projects can be institutionalized has the prospect for advancing effective strategies for community health planning.


Community-based institutions Institutionalized health care Anti-dualism Philosophy Community-based organization 


  1. Bartholomew, L. K., Parcel, G. S., Kok, G., Gottlieb, N. H., & Fernandez, M. E. (2016). Planning health promotion programs: An intervention mapping approach. California, USA: Jossey-Bass.Google Scholar
  2. Baum, F. (2016). The new public health. South Melbourne, Australia: Oxford University Press.Google Scholar
  3. Beck, U. (1997). The reinvention of politics: Rethinking modernity in the global social order. Cambridge, MA: Polity.Google Scholar
  4. Bentley, A. (1908). The process of government: A Study in social pressures. Chicago, IL: The University of Chicago Press.Google Scholar
  5. Billings, D., & Halstead, J. (2016). Teaching in nursing: A guide for faculty. St. Louis, MO: Elsevier.Google Scholar
  6. Fish, S. (1992). The common touch, or one size fits all. In D. J. Gless & B. H. Smith (Eds.), The politics of liberal education (pp. 31–50). Durham, NC: Duke University Press.Google Scholar
  7. Gebser, J. (1985). The ever-present origin. Athens, OH: Ohio University Press.Google Scholar
  8. Giddens, A. (1987). Sociology. New York, NY: Harcourt Brace Jovanovich.Google Scholar
  9. Gould, N., & Baldwin, M. (Eds.). (2016). Social work: Critical reflection and the learning organization. New York, NY: Routledge.Google Scholar
  10. Leitz, C. A., & Zayas, L. E. (2010). Evaluating qualitative research for social work practitioners. Advances in Social Work, 11(2), 188–202.CrossRefGoogle Scholar
  11. Lyotard, J. F. (1993). Libidinal economy. Bloomington, IL: Indiana University Press.Google Scholar
  12. Marx, K. (1952). The eighteenth Brumaire of Louis Napoleon. In R. C. Tucker (Ed.), The Marx-Engels reader: A second edition. New York, NY: Norton.Google Scholar
  13. Minkler, M. (2005). Community-based research partnerships: Challenges and opportunities. Journal of Urban Health, 82(2), ii3–ii12.PubMedPubMedCentralGoogle Scholar
  14. Minkler, M., & Wallerstein, N. (Eds.). (2008). Community-based participatory research for health: From process to outcomes. California, USA: Jossey-Bass.Google Scholar
  15. Nelson, R., & Stagger, N. (2018). Health informatics: An interpersonal approach. St. Louis, MO: Elsevier.Google Scholar
  16. Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility vs cultural competence: a critical distinction in defining physician training outcomes in medical education. Journal of Health Care for the Poor and Underserved, 9, 117–125.Google Scholar
  17. Ugalde, A. (1985). Ideological dimensions of community participation in Latin America health programs. Social Science & Medicine, 21, 41–53.CrossRefGoogle Scholar
  18. Wallerstein, N. (1999). Power between evaluator and community: Research relationships within New Mexico’s healthier communities. Social Science & Medicine, 49, 39–53.CrossRefGoogle Scholar
  19. Whitley, R. (1984). The development of management studies as a fragmented adhocracy. Social Science Information, 23(4–5), 775–818.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Sociology and PsychologyUniversity of North Texas at DallasDallasUSA

Personalised recommendations