Communities of Solution: Partnerships for Population Health

Reducing Cardiovascular Disparities Through Community-Engaged Implementation Research

“…85 Recently, there has been a resurgence in the desire to link medical care with public health through the creation of local and regional communities of solution (COS) that identify the critical links among community, public health, and primary care and call for ongoing demonstrations of COSs grounded in patient-centered care. 86,87 The COS begins by identifying the local problem shed, in this case, issues related to CVD disparities, and then identifies the asset shed, that is, those people, organizations, and health systems that can contribute to a local solution. 86,87 The COS combine the key elements of implementation research by aligning strategic partners in developing local solutions to local health problems.…”

“…86,87 The COS begins by identifying the local problem shed, in this case, issues related to CVD disparities, and then identifies the asset shed, that is, those people, organizations, and health systems that can contribute to a local solution. 86,87 The COS combine the key elements of implementation research by aligning strategic partners in developing local solutions to local health problems. In addition to the use of local and regional COS in implementation research, several opportunities and challenges in efforts recommended for NHLBI to consider for eliminating CVD disparities are identified in Table 5.…”

Praxis-based Research Networks: An Emerging Paradigm for Research That is Rigorous, Relevant, and Inclusive

“…PBRN-initiated partnerships to create ‘communities of solution’(21) using community-based participatory research methods have been described,(37, 38) and a growing number of PBRNs are partnering across boundaries to address complex health issues. (6, 39)…”

Holding On and Letting Go: A Perspective from the Keystone IV Conference

“…• Building learning communities 44 and communities of solution 45,46 that combine Big Data with deep, on-the-ground relationships to reinvent community-oriented primary care [47][48][49] • Fighting against the widespread adoption of a line-worker approach to mass production that has largely been discredited in manufacturing but that is being applied full bore to public education and to delivering fragmented, depersonalized commodities of health care 50 -56 • Standardizing what is common but not mistaking this for what is important: making room to take time with the particulars 31 of person and place, family, and community • Conducting research not as something that is done to rats, or to people treated like rats, or to subparts of people, and calling that "precision medicine," but as generating relevant new knowledge in partnership with practices, patients, and communities; adding stories to the statistics, narratives to the numbers 57,58 -personalized medicine that requires knowing the person • Integrated care 59 -61 • Embracing the measurement culture at arm's length 16 ; working to assess what is important, empowering those on the front lines to move beyond metrics of central tendency toward personalized care, and making space and time for the important wonders that are beyond measurement • Being the change we want to see 62 I do not know if being countercultural is the proper political stance now. I do know that every day family physicians fly in the face of the fragmenting pressures of greed, anger, and fear, trying to do the right thing for individuals, families, and communities.…”