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PubMedDate not supplied

Local health departments implement a theory-based model to increase breast and cervical cancer screening.

Su Vida, Su Salud/Your Life, Your Health is a community program to increase participation in breast and cervical cancer screening. This program illustrates the diffusion of an innovative outreach strategy from a research environment to two local health departments. The program uses A Su Salud, the communication model in which positive role models are featured in the media, and community volunteers who give positive social reinforcement. Local health departments in Galveston and Corpus Christi, TX, were selected to implement the model because of excessive mortality rates in the region and the departments' adequate level of resources and commitment. Over an 18-month period, 54 stories of role models appeared in the media in Corpus Christi, and 60 appeared in Galveston. There were 490 volunteers active in Corpus Christi and 279 in Galveston. Of 365 inquiries to the Corpus Christi program, 35 percent were from the Mexican American target group of women ages 40-70. Of 1,457 women who contacted the Galveston program, 9 percent were from the African American target group ages 40-70. Local health departments are well-suited to participation in cancer control research applications because they have direct access to high-risk populations and have the authority to institutionalize effective interventions.

Adult↗
PubMed1997

[Quality and innovation management in surgery for the patient's benefit].

While the objective of management of innovations is to move the achievable quality in the direction of maximum quality, the purpose of quality management is to achieve the achievable quality everywhere. Other than in pharmaceutical and medicinal products and in out-patient care, there is no systematic technology assessment for hospital care in Germany. Before broadly implementing innovations in health care, they have to be embedded in good clinical practice guidelines to assure their appropriate indication and performance. Since health insurance funds are the greatest profiteers, they should fill the financial gap for the research of transferring innovations into daily medical practice.

Diffusion of Innovation↗
PubMed1988

Technology in France.

The author describes how France has attempted to reconcile its ethos of optimum health care for all with a belief in free enterprise, with increasing medical costs and complex technological innovations, and with a traditional distrust of widespread regulation. Effective oversight of the diffusion of technology is further hampered by the shared responsibilities of several government agencies. Although France has enacted a fee schedule for physicians, created national procedures for evaluating equipment, and exercised some control over hospitals, the general sentiment is anti-bureaucratic and third-party insurers will most likely play an important role in limiting the diffusion of technology in the future.

Communication↗