title: Scalability of Community Participation in Health Program Decisions.
abstract: The achievement of significant levels of influence on six program decision areas by communities served by health care program is investigated using Guttman scale analysis in a sample of 50 Children and Youth comprehensive health care projects in the United States to determine whether such achievement occurs in an ordered or a random sequence. Evidence presented indicates that the achievement of relative levels of community influence is orderly for initial levels of influence; higher levels of community influence apparently do not follow the same order. Implications of these findings for planning and predicting the development of personal health service programs are discussed.
mesh_terms: D002662:Child Health Services; D003256:Community Participation; D003191:Comprehensive Health Care; D003657:Decision Making; D014481:United States