• Community Involvement in Hospitals:
    Key Findings and Recommendations

    Table of Contents

    Executive Summary

    Chapter 1: Introduction and Background

    • 1.1 Hospital Strategy Project
      1.2 Original Brief
      1.3 Acknowledgements

    Chapter 2: Community Involvement in Health

    • 2.1 Introduction
      2.2 Potential Benefits and Limitations
      2.3 Community Involvement in South Africa
      2.4 Objectives for Community Involvement

    Chapter 3: The Community's Perspective on Community Involvement

    • 3.1 Conceptualisation
      3.2 Hospital Governance
      3.3 Accountability of Hospital Management
      3.4 A Case Study: The Cape Metropolitan Health Forum

    Chapter 4: Hospital Boards and Community Involvement

    • 4.1 Conceptualisation
      4.2 Composition of Hospital Boards
      4.3 Selection Process and Terms of Office
      4.4 International Experiences with Democratic Hospital Boards
      4.5 A Case Study: Determining the Representative Structures in One Community

    Chapter 5: Training and Capacity Building

    • 5.1 Community Perspective on Training
      5.2 Framework for Training
      5.3 Practical Considerations
      5.4 Specific Recommendations for Training Hospital Boards

    Chapter 6: Implementation Framework

    • 6.1 Preconditions to Community Involvement
      6.2 Potential Obstacles
      6.3 An Implementation Strategy

    Appendix 1: Research Methodology

    • A.1 Literature Review
      A.2 Community Forums
      A.3 Case Studies

    Appendix 2: Sample NHS Board Checklist


    List of Tables and Figures

    Tables

    • Table ES-1: Summary of Implementation Activities
    • Table 3.1: Community Involvement in Governance Issues
    • Table 3.2: Community Involvement in Accountability Issues
    • Table 6.1: Some Obstacles to Implementation
    • Table 6.2: Summary of Implementation Activities
    • Table A.1: Summary of Community Forums

    Figures

    • Figure 3.1: Respondents' Opinions about Community Involvement
    • Figure 4.1: Hospital Boards as a Mechanism for Community Involvement
    • Figure 4.2: Final Authority in Dispute Between Management and Hospital Board
    • Figure 4.3: Alternative District Governance Model
    • Figure A.1: Representation at Forums

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    Last updated: 16/02/98