title: Actualizing a provider alliance to expand health services access to a low-income urban community.
abstract: Social change to facilitate health care access for vulnerable populations sometimes involves model-driven innovative structures and innovative planning and implementation approaches. This paper described and analyzed the rationale, conceptual framework, program components, and implementation of the South Central Health Care Alliance (SCHCA) implemented in South Los Angeles from January 2002 to December 2004. The program development and implementation was guided by an integrated framework linking the Open Systems Theory, the Social Cognitive Theory, the Health Belief Model, and the Preventive Health Education and Medical Home Project. The performance of the SCHCA as a social system, partnership, and participatory implementation program is also presented. While the SCHCA was found to be a dynamic social system that responded well to contingencies, its performance as a partnership and participatory implementation program was wanting in many respects.
authors.affiliation: Indiana University Kokomo, Indiana, USA. dbtataw@yahoo.com
authors.forename: David
authors.initials: D
authors.lastname: Tataw
authors.forename: Shahrzad
authors.initials: S
authors.lastname: Bazargan-Hejazi
authors.forename: Frederick W
authors.initials: FW
authors.lastname: James
mesh_terms: D019090:Case Management; D003153:Community Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D055812:Community-Based Participatory Research; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration* / Q000706:statistics & numerical data; D004059:Diffusion of Innovation; D006266:Health Education; D006296:Health Services / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D054624:Health Status Disparities; D006801:Humans; D007182:Income; D015141:Los Angeles; D008960:Models, Psychological; D011203:Poverty / Q000706:statistics & numerical data*; D011582:Psychological Theory; D014505:Urban Population / Q000706:statistics & numerical data*