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Biomedical subjects

H S Falck

Publications and source records attributed to H S Falck.

13 recordsLinked to original sources

Membership theory, rationalism, and the claim to adequacy in health services.

The immediate, practical purpose of this paper is to discuss and elaborate upon the concept of adequacy, especially when applicable to an understanding of the social work role in health policy making. The relevant topics under the general category of adequacy are (1) the perception and definition of the citizen/client; (2) the concept of rationality in health planning broken down into conditionality and prioritization, and (3) the concept of adequacy itself. Each will be addressed from the standpoint of recent experience and what may be done in the future to clarify and rationalize each. Clarity about clients, about rational approaches to policy making and planning, leading to a clear idea about adequacy in health care are presented as the indispensable elements in social work. Conditionality and prioritization are significant because no society will bring within equal reach of all members the benefits of health care, which usually means that health care is not rendered arbitrarily but as a result, among other things, of rational planning.

Forecasting↗

What is needed to claim adequacy in health services?

The answer to the question in the title of this essay is fairly readily available and can be articulated by listing those attributes that spell out adequacy in health services. A series of other concepts are presented to highlight methods of analysis in judging adequacy. These fall into two categories, those value statement that give meaning to the question to begin with as well as to its answers; and those of more mechanical significance. The first appear in the form of general principles, having to do with means, ends and the maintenance of human life; the worth of human life and common ownership of resources; and overriding contradictions with health-oriented life. The second--mechanics and techniques in judging the presence or lack of health services--are addressed by the concepts of conditionality and prioritization. Examples are provided from the current health planning efforts in the United States as viewed by a professional organization, by the Clinton administration's proposal for adequate health care, and finally, those offered by the Republican party.

Attitude to Health↗

Observations on the scientific base of health social work.

This article examines aspects of social work in health care from a philosophy of science perspective, which suggests different ways of conceptualizing and defining variables ranging from service recipients to principles undergirding social work intervention. Focus is given to the relationships among theory, practice, and research in social work by considering the nature of clinical theory; health social work theory; and theory grounded research.

Health Services Research↗

Social and psychological care before and during hospitalization.

Social and psychological care may be viewed as a series of technical procedures; or it may be seen as a complex set of services rendered by the hospital to its potential and actual patients. In the latter case, an understanding of the structure, the political and economic, as well as the ideological context of the hospital is necessary. A review of studies on the preparation of children for hospitalization, conducted in the theoretical framework of behavioural medicine, provides a significant set of data. Material available from practising clinical social workers in United States hospitals, provides equally useful reports, albeit of far greater contextual nature than the first. The paper proposes that in post-behaviouristic and post-phenomenological times an integration of frames of reference, designs and methodologies ought to be attempted, notwithstanding serious dissonances, disagreements, and professions-bound interests.

Child↗

The use of theoretical constructs and research data to establish a base for clinical social work in health settings.

This article suggests a means for organizing a base for clinical social work practice in health settings. Membership, as a theoretical construct, is used to explore the essentials of social work, to explicate its key practice concepts, and to review characteristics of the health field. Selected findings from a secondary analysis of data from the New England Regional Survey of Social Work Practice are considered with reference to theory and essential concepts of health social work practice. Questions are raised and implications drawn for the practice of clinical social work in health settings and for education for that practice.

Delivery of Health Care↗