Linkages Between Clinical Practices and Community Organizations for Prevention

Porterfield, Deborah S; Hinnant, Laurie W.; Kane, Heather; Horne, Joseph; McAleer, Kelly; Roussel, Amy

doi:10.1016/j.amepre.2012.03.018

Cited by 49 publications

(53 citation statements)

References 31 publications

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“…Although speculative, it is possible that it was difficult for these clinics to effectively coordinate and incorporate these community resources into their patients’ chronic illness care, especially if patients had difficulty finding transportation or lacked insurance. Due to increasing interest in linking primary care with community resources [26,27], this finding deserves further exploration in future research.…”

Section: Discussionmentioning

confidence: 99%

Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis

et al. 2014

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BackgroundLittle is known as to whether primary care teams’ perceptions of how well they have implemented the Chronic Care Model (CCM) corresponds with their patients’ own experience of chronic illness care. We examined the extent to which practice members’ perceptions of how well they organized to deliver care consistent with the CCM were associated with their patients’ perceptions of the chronic illness care they have received.MethodsAnalysis of baseline measures from a cluster randomized controlled trial testing a practice facilitation intervention to implement the CCM in small, community-based primary care practices. All practice “members” (i.e., physician providers, non-physician providers, and staff) completed the Assessment of Chronic Illness Care (ACIC) survey and adult patients with 1 or more chronic illnesses completed the Patient Assessment of Chronic Illness Care (PACIC) questionnaire.ResultsTwo sets of hierarchical linear regression models accounting for nesting of practice members (N = 283) and patients (N = 1,769) within 39 practices assessed the association between practice member perspectives of CCM implementation (ACIC scores) and patients’ perspectives of CCM (PACIC). ACIC summary score was not significantly associated with PACIC summary score or most of PACIC subscale scores, but four of the ACIC subscales [Self-management Support (p < 0.05); Community Linkages (p < 0.02), Delivery System Design (p < 0.02), and Organizational Support (p < 0.02)] were consistently associated with PACIC summary score and the majority of PACIC subscale scores after controlling for patient characteristics. The magnitude of the coefficients, however, indicates that the level of association is weak.ConclusionsThe ACIC and PACIC scales appear to provide complementary and relatively unique assessments of how well clinical services are aligned with the CCM. Our findings underscore the importance of assessing both patient and practice member perspectives when evaluating quality of chronic illness care.Trial registrationNCT00482768

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Section: Discussionmentioning

confidence: 99%

Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis

et al. 2014

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“…This study is the first step for on-line HRA to be utilized as a standard method to create large cancer risk registries of racially/ethnically diverse potential CPT participants. Future implications of this research are better electronic health data integration, transfer, and security systems between community and clinical institutions for clinical prevention research, as advocated by the AHRQ [34], and integration of behavioral data into standard clinical data for research.…”

Section: Discussionmentioning

confidence: 99%

Novel Method for Recruiting Representative At-Risk Individuals into Cancer Prevention Trials: Online Health Risk Assessment in Employee Wellness Programs

et al. 2015

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Participation in cancer prevention trials (CPT) is lower than 3% among high-risk healthy individuals, and racial/ethnic minorities are the most under-represented. Novel recruitment strategies are therefore needed. On-line health risk assessment (HRA) serves as a gateway component of nearly all employee wellness programs (EWP) and may be a missed opportunity. This study aimed to explore employees’ interest, willingness, motivators, and barriers of releasing their HRA responses to an external secure research database for recruitment purpose. We used qualitative research methods (focus group and individual interviews) to examine employees’ interest and willingness in releasing their on-line HRA responses to an external, secure database to register as potential CPT participants. Fifteen structured interviews (40% of study participants were of racial/ethnic minority) were conducted and responses reached saturation after four interviews. All employees showed interest and willingness to release their on-line HRA responses to register as a potential CPT participant. Content analyses revealed that 91% of participants were motivated to do so, and the major motivators were to: 1) obtain help in finding personally relevant prevention trials, 2) help people they know who are affected by cancer, and/or 3) increase knowledge about CPT. A subset of participants (45%) expressed barriers of releasing their HRA responses due to concerns about credibility and security of the external database. On-line HRA may be a feasible but underutilized recruitment method for cancer prevention trials. EWP-sponsored HRA shows promise for the development of a large, centralized registry of racially/ethnically representative CPT potential participants.

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“…By mapping the classification schemes in our 11 included works (representing 9 unique studies) to the Jorm et al classes, 13 we found the use of "methods" in seven unique studies 1,[6][7][8][9][10]14,26,27 "health issues" in four, 6,8,9,11,14,28 "resources and infrastructure" in four, 6,8,10,28 "functions" in two, 1,6 "settings" in two, 6,7 and "determinants of health" in none. Beyond the Jorm et al classifications, 13 "target population, " which four studies described, 6,8,9,14 and "organization type, " 1,6,8,10,28 as distinct from intervention setting, emerged as potentially important domains.…”

Section: Taxonomy Of Integration Interventionsmentioning

confidence: 99%

“…Beyond the Jorm et al classifications, 13 "target population, " which four studies described, 6,8,9,14 and "organization type, " 1,6,8,10,28 as distinct from intervention setting, emerged as potentially important domains. We also noted examples of categories that could comprise subdomains within an existing This study developed a "practical framework" for understanding and implementing collaborative strategies between medicine and public health, developed from an empirical review of 414 cases.…”

Section: Taxonomy Of Integration Interventionsmentioning

confidence: 99%

“…Only two formal evidence syntheses for integration interventions have been attempted, and both focused on using integration interventions to deliver preventive services. 6,7 The authors of these studies concluded that the evidence is sparse, and commented on the lack of primary research in this area. The challenges of research into integration effectiveness are many.…”

Section: Introductionmentioning

confidence: 99%

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A Taxonomy of Integration Interventions Between Health Care and Public Health

Porterfield¹,

Smith²,

Lewis³

et al. 2015

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This PDF document was made available from www.rti.org as a public service of RTI International. More information about RTI Press can be found at http://www.rti.org/rtipress. RTI International is an independent, nonprofit research organization dedicated to improving the human condition by turning knowledge into practice. The RTI Press mission is to disseminate information about RTI research, analytic tools, and technical expertise to a national and international audience. RTI Press publications are peerreviewed by at least two independent substantive experts and one or more Press editors.

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Linkages Between Clinical Practices and Community Organizations for Prevention

Cited by 49 publications

References 31 publications

Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis

Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis

Novel Method for Recruiting Representative At-Risk Individuals into Cancer Prevention Trials: Online Health Risk Assessment in Employee Wellness Programs

A Taxonomy of Integration Interventions Between Health Care and Public Health

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