Habin, Ronald I., December 1995 - QUALITY HEALTH CARE FOR POOR
PEOPLE
Abstract Low income Americans do not have adequate access to
medical care. A major reason, of course, is that given the
predominance of expensive private care providers, most poor
people cannot afford the luxury of preventive medical habit. By
necessity, the daily struggle for food, clothing, and shelter
must take precedence. Low income people generally encounter
systemic obstacles when seeking quality health care from private
medical practitioners, hospital clinics and emergency rooms, as
well as from municipally controlled health department facilities.
The purpose of this study is to try to improve the lives of low
income Americans. When a given population is in good health, it
has at least the chance to reach its highest human potential.
This effort is primarily an exploration into an institutional
means by which practical, humane health care policy may be
nourished.
That which is to be tested, is the research question: do
nonprofit community health care centers offer quality health care
to low income Americans? Anthropological theory supports our
understanding of how macro and micro ecological influences permit
the birth and development of just such an institution.
A qualitative research approach is employed, as this seemed to
the author, the most informative means by which to learn of the
value of one community health care center to its environs. It is
the customary job of the anthropologist when going on site, to
observe, analyze as best one can, record data, events and
feelings, and then formulate ideas regarding the field
experience. This is ethnography. The ethnographic methodological
approach is purposefully appropriate. In this endeavor, a variety
of traditional investigative techniques are employed.
As a result of this study, several themes have emerged. First, a
particular community health care center provides quality health
care for its client population. Second, due to the success of
this institution, it is likely that other community health care
centers can improve the health care outcomes of different
vulnerable populations. Finally, recommendations are made
concerning the place of community health centers in the American
health care delivery mix.