Mode of Program Participation

Community Organizing and Educational Programming

Participation Type

Paper

Presentation #1 Title

Creating Community Health Centers Across an Appalachian Cultural Quilt

Presentation #1 Abstract or Summary

This presentation is about the cultural and organizational challenges faced in establishing the Appalachian Mountain Area Community Health Centers. Implemented over the past 18 months in ten locations across the mountains of Western North Carolina, from Asheville to Murphy, the centers serve Black, White, Cherokee and Hispanic clients in both urban and rural mountain settings. Some sites focus on homeless people, while all provide care to the underserved. This overview of the AMCHC’s creation provides a case study of the paths of competition and cooperation between hospitals, health departments and primary care providers amid the rhododendron thickets of federal, state and institutional funding and regulations. The paper also describes the very difficult challenges faced by AMCHC’s community-based board of directors.

At-A-Glance Bio- Presenter #1

Tom Plaut is the board treasurer for the Appalachian Mountain Area Community Health Centers and a co-coordinator for Regional Studies at the Osher Lifelong Learning Institute at UNC-Asheville. A former ASA president and recipient of the Williams/Brown Service Award, he is a Professor of Sociology Emeritus of Mars Hill University.

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Creating Community Health Centers Across an Appalachian Cultural Quilt

This presentation is about the cultural and organizational challenges faced in establishing the Appalachian Mountain Area Community Health Centers. Implemented over the past 18 months in ten locations across the mountains of Western North Carolina, from Asheville to Murphy, the centers serve Black, White, Cherokee and Hispanic clients in both urban and rural mountain settings. Some sites focus on homeless people, while all provide care to the underserved. This overview of the AMCHC’s creation provides a case study of the paths of competition and cooperation between hospitals, health departments and primary care providers amid the rhododendron thickets of federal, state and institutional funding and regulations. The paper also describes the very difficult challenges faced by AMCHC’s community-based board of directors.