Advertisement

Two Tools for Well-Being: Health Systems and Communities

  • John L. McKnight
    Correspondence
    Address reprint requests to Director of Publications, Center for Urban Affairs and Policy Research, Northwestern University, Evanston, IL 60208.
    Affiliations
    From the Departments of Communication Studies and Urban Affairs, Northwestern University, Evanston, Illinois
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      Medical systems and associative communities are two distinctive social tools. To promote health, tools of community are more significant than system tools. Medical systems were created to serve many needs efficiently and to produce standardized procedures and outcome. Clients are a necessary component of a medical system. Associative communities are formed with the active consent of the people they serve and require citizens rather than clients. If the promotion of health is the goal, the medical system is limited in what it can achieve by the nature of its design. Only when systems recognize the need for community building and work together with associations, focusing on citizens’ capacities rather than clients’ deficiencies, can health promotion be successful.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • de Tocqueville A.
        Democracy in America. 1835. Harper and Row, New York1945
        • Illich I.
        Medical nemesis: the expropriation of health. Pantheon Books, New York1976
        • Ellul J.
        The technological society. Knopf Publishers, New York1965
        • Bellah R.
        • et al.
        Habits of the heart: individualism and commitment in American life. University of California Press, Berkeley1985
        • Polanyi K.
        The great transformation. Farrar and Rinehart Publishing, New York1944
        • McKnight J.
        Politicizing health care.
        Social Policy. 1978; 9: 36-39
        • McKnight J.
        • Kretzmann J.
        Mapping community capacity. Center for Urban Affairs and Policy Research Report, Northwestern University, Evanston, Illinois1990