GLASGOW, MARGARET ROGSTAD; PHD
DUKE UNIVERSITY, 1984
SOCIOLOGY, GENERAL (0626)
This is the case study of the Well Woman Health and Awareness Clinic (WWHAC)
of Yarmouth, Nova
Scotia--an innovative organization which sought to deliver preventive health
services to its community
from 1976 through 1981. The study was undertaken to explain, within an ecological
framework, the
appearance and disappearance of this Clinic. Two ecological concepts, niche
and succession, shape the
explanation. Niche refers to a unique combination of environmental resources
which permit the creation
of a new organizational form, and succession refers to the broad-based processes
of selection which
affect its retention. The complexity of the case--which is anchored in historical
context--involved the use
of multiple methods and data sources. Through a series of contextual analyses,
evidence is presented to
indicate the creation of an environmental niche that the Clinic founders were
able to exploit. State
support proved the crucial resource, and the Clinic's singular dependence on
that support led to its
death. Clinic personnel, however, understood their transitory role, and chose
as their primary goal the
demonstration of new ideas and health practices. To achieve this goal, and to
provide a structure where
their innovations could reside after the Clinic was gone, they utilized a mobilization
strategy best
represented by Granovetter's (1973, 1983) argument for the 'strength of weak
ties.' Remarkably, the
Clinic was found to be imbedded in a loosely-knit, expansive network of primarily
women's organizations
that shared goals and resources, and that was significantly connected to the
Acadian communities
surrounding Yarmouth. The Clinic's position in the network is characterized
as one of dependency, with
the Clinic serving as a broker between reformist federal health policy and community
needs. More
importantly, the network was instrumental for the Clinic's integration into
the community and in providing
a structure for the diffusion of the innovation--particularly in the Acadian
community. This study
corroborates other research that shows that the mobilization of community groups
by the activation of
weak ties, especially for the purpose of innovation, increases the likelihood
that the goal will be adopted
and integrated into the structure (Steinberg, 1980).
Social
Systems Simulation Group
P.O. Box 6904 San Diego, CA 92166-0904 Roland Werner, Principal Phone/FAX (619) 660-1603 |