89 lines
2.9 KiB
YAML
89 lines
2.9 KiB
YAML
abstract: 'In public health care, needs assessments are a common practice, often
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done once a year or every couple of years, to determine arenas on which
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providers should focus their prime attention. The structure of needs
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assessments varies between political boundaries, but within political
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boundaries (e.g. state, county, etc.) they are generally standardized so
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that organizations offering similar types of care may compare results
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and streamline strategies. Public health providers, however, often see
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needs assessments as bureaucratic mazes through which providers must
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navigate to gain state and federal dollars. Despite this image, needs
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assessments play an integral role in how governmentally subsidized
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health care services are provided and delivered. Equally important,
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needs assessment design may at once reinforce and be reinforced by
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existing geographies of inequality and associated social policy
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regarding subsidized populations. The purpose of this paper is to
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examine this mutually constitutive relationship between social policy
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and spatiality using an empirical example in the public health arena,
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specifically, the needs assessment process for federally subsidized
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women''s health care clinics in Butler County, Ohio, where I worked as an
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intern on a three year needs assessment in 1993. The paper focuses on
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how the problem definition process (the use of indicators of need)
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constitutes and is constituted by a dualistic conception of health care
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provision which views health care as either preventive or sick care and
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the provision of care as either site specific or individual specific. I
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criticize this binary conception and then analyze it in terms of the
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geographical implications for low income women and children seeking
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subsidized health care. The paper has three sections. The first section
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lays out a theoretical framework through which social policy analysis
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may be understood. The second section offers an introduction to the
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study area and the needs assessment methodology for subsidized women''s
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health care clinics in Ohio. The third and final section examines the
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geographical implications of the needs assessment process in Ohio.'
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affiliation: Gallaher, C (Corresponding Author), UNIV KENTUCKY,DEPT GEOG,LEXINGTON,KY
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40506, USA.
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author: Gallaher, C
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author_list:
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- family: Gallaher
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given: C
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da: '2023-09-28'
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doi: 10.1016/0016-7185(95)00033-X
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files: []
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issn: 0016-7185
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journal: GEOFORUM
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language: English
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month: AUG
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number: '3'
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number-of-cited-references: '15'
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pages: 287-295
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papis_id: 11fbbee37a01b74655d2beee4b133cde
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ref: Gallaher1995socialpolicy
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times-cited: '0'
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title: 'Social policy and the construction of need: A critical examination of the
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geography of needs assessments for low-income women''s health'
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type: article
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unique-id: WOS:A1995TM33200005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '26'
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web-of-science-categories: Geography
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year: '1995'
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