The Theorization of Community Based Problem-solving in PHC.

进行这项研究是为了探讨和研究日本、泰国（曼谷）和美国（夏威夷）正在以何种方式处理健康问题。其中一个因素涉及研究和改变国家内部和国家之间的健康模式的必要性。目前的文献分析集中在解决自愿问题解决的历史性质，并确定在自愿问题解决工作中纳入的关键概念。实地研究在曼谷和檀香山进行，集中在活跃的地区，包括访问，访谈和observation.Literature Review历史上，美国，以及日本，开始以社区为基础的问题解决1900年左右，但是，无论是内容和过程是不同的政治，经济和社会背景的基础上。当前的健康问题， 关于我们 d通过社区为基础的行动进行了审查.概念包括在社区志愿解决问题的定义基于个人，团体和社区.Field StudyIn美国，这项研究集中在卡利希山谷.檀香山的一个低收入公共住房社区。在以夏威夷土著居民为主的怀厄尼斯海岸综合健康中心，已经建立了一个处理社区问题的正式模式，其中包括政府、大学和非政府组织团体。相反，日本向所有群体平等提供这些服务。在泰国，我们与Mahidohl大学和曼谷大学合作，研究了贫民区区域开发计划的四个要点。在这里，我们发现了强大的社区联系，因为大多数人要么是亲戚，要么来自同一个农村地区。接下来，我们需要研究缺乏这些社区联系的工厂工人。少

This study has been undertaken in order to explore and examine in what ways health issues are being dealt with in the countries of Japan, Thailand (Bangkok), and the United States (Hawaii). One of the factors involved relates to the necessity of studying and changing the health paradigm within and across nations.This year's study consisted of both literature review and field surveys. The analysis of current literature focused on solving the historical nature of voluntary problem solving and to determine the key concepts incorporated in voluntary problem solving efforts. The field study was conducted in Bangkok and Honolulu and concentrated in active regional areas and included visits, interviews, and observation.Literature ReviewHistorically, the United States, as well as Japan, started community based problem solving around 1900 ; however, both the content and process were different based on respective political, economic and social backgrounds. Current health issues which are targete … More d through community based action are also reviewed.Concepts included in voluntary problem solving in the community are defined based on individual, group and community.Field StudyIn the United States, this study concentrated on Kalihi Valley. a low income public housing community in Honolulu. In the Waianae Coast Comprehensive Health Center, whose inhabitants are primarily native Hawaiians, a formal model for dealing with community problems has already been established and incorporates government, university, and NGO groups.Governmental social services in the United States are primarily aimed at low income and minority groups. In contrast, Japan provides these services equally to all groups. Furthermore, a study involving the middle class in Honolulu is necessary.In Thailand, we cooperated with Mahidohl University and Bangkok and studied four points concerning a regional development program for a slum area. Here, we found strong community ties because most of the people are either related or from the same rural area. Next, we need to study factory workers who lack these community ties. Less