Despite community health centers' substantial role in local communities and in the broader safety-net healthcare system, very limited research has been conducted on community health center research experience, infrastructure, or needs from a national perspective. A national survey of 386 community health centers was conducted in 2011 and 2012 to assess research engagement among community health centers and their perceived needs, barriers, challenges, and facilitators with respect to their involvement in public health and health services research. This paper analyzes the differences between health centers that currently conduct or participate in research and health centers that have no prior research experience to determine whether prior research experience is indicative of different perceived challenges and research needs in community health center settings.
Federally Qualified Health Centers are well positioned for translational research given their diverse patient population, unique characteristics, and community knowledge. This was the first national survey that assessed their research activities. Those with research experience were more likely to be urban and Health Care for the Homeless grantees and had more patients, minority patients, and physicians relative to nonphysician providers, enabling services providers, Medicaid revenues per Medicaid patient, and total revenues per patient than health centers with no experience and no future interest in research. Only enabling services providers to patient ratios and total patients remained significant after controlling for other factors.
Background : The mission of the Community Health Applied Research Network (CHARN) is to build capacity to carry out Patient-Centered Outcomes Research at community health centers (CHCs), with the ultimate goal to improve health care for vulnerable populations. Objectives : The CHARN Needs Assessment Staff Survey investigates CHCs’ involvement in research, as well as their need for research training and resources. Results will be used to guide future training. Methods : The survey was developed and implemented in partnership with CHARN CHCs. Data were collected across CHARN CHCs. Data analysis and reports were conducted by the CHARN data coordinating center (DCC). Results : Survey results highlighted gaps in staff research training, and these gaps varied by staff role. Conclusions : There is considerable variation in research involvement, partnerships, and focus both within and across CHCs. Development of training programs to increase research capacity should be tailored to address the specific needs and roles of staff involved in research.
This investigation is a case study of the responses of children and their parents to a murder in their neighborhood. Through participant observation and intensive interviews with parents, the authors describe how parents took action both collectively and individually to manage their children's fears and to find meaning in an act of unusual brutality and deceit. The authors anticipated correctly that this study could provide an opportunity to examine the potential impact of distal violence on middle-class children. An unanticipated outcome was the substantial effect of the homicide on the neighborhood parents themselves as reflected in their sense-making activities that continued long after the resolution of the murder itself.
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