The Role of Community-Based Organizations in Improving Chronic Care for Safety-Net Populations

Nguyen, Kim; Fields, Jessica; Cemballi, Anupama Gunshekar; Desai, Riya; Gopalan, Anjali; Cruz, Tessa; Shah, Aekta; Akom, Antwi; Brown, William; Sarkar, Urmimala; Lyles, Courtney R.

doi:10.3122/jabfm.2021.04.200591

Cited by 17 publications

(18 citation statements)

References 26 publications

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“…These community leaders were recruited via an existing network of organizations working on health prevention and promotion throughout San Francisco. More details about the sampling methodology have been previously reported [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…We conducted a thematic analysis of the qualitative data collected, using open coding of ideas and concepts that emerged [ 21 ]. Transcripts of all qualitative data—interviews, neighborhood tours, and clinic visit observations—were read multiple times and coded initially by authors KHN, JDF, AGC, RD, and CRL, using an inductive thematic analysis approach [ 18 ]. Authors KP and CRL conducted another round of coding, employing an additional codebook based on an inductive coding approach focused on the knowledge and utilization of community resource referrals for the purpose of this study.…”

Section: Methodsmentioning

confidence: 99%

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Assessing Alignment of Patient and Clinician Perspectives on Community Health Resources for Chronic Disease Management

et al. 2022

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Addressing social determinants of health (SDoH) is associated with improved clinical outcomes for patients with chronic diseases in safety-net settings. This qualitative study supplemented by descriptive quantitative analysis investigates the degree of alignment between patient and clinicians’ perceptions of SDoH resources and referrals in clinics within the public healthcare delivery system in San Francisco. We conducted a qualitative analysis of in-depth interviews, patient-led neighborhood tours, and in-person clinic visit observations with 10 patients and 7 primary care clinicians. Using a convergent parallel mixed methodology, we also completed a descriptive quantitative analysis comparing the categories of neighborhood health resources mentioned by patients or community leaders to the resources integrated into the electronic health record. We found that patients held a wealth of knowledge about neighborhood resources relevant to SDoH that were highly localized and specific to their communities. In addition, multiple stakeholders were involved in conducting SDoH screenings and referrals, including clinicians, system navigators such as case workers, and community-based organizations. Yet, the information flow between these stakeholders and patients lacked systematization, and the prioritization of social needs by patients and clinicians was misaligned, as represented by qualitative themes as well as quantitative differences in resource category distribution analysis (p < 0.001). Our results shed light upon opportunities for strengthening social care delivery in safety-net healthcare settings by improving patient engagement, clinic workflow, EHR engagement, and resource dissemination.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Assessing Alignment of Patient and Clinician Perspectives on Community Health Resources for Chronic Disease Management

et al. 2022

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“…Community engagement and partnerships are at the core of public health (Nguyen et al, 2021;Robillard et al, 2022). Longstanding disparities among marginalized populations and communities of color have pointed to the need for engaging community members and organizations into the development of interventions, programs, and practices.…”

Section: Introductionmentioning

confidence: 99%

“…Longstanding disparities among marginalized populations and communities of color have pointed to the need for engaging community members and organizations into the development of interventions, programs, and practices. As a matter of fact, health-focused community-based organizations (CBOs) have historical impetus in providing access to resources, responsiveness to community needs, and increasing capacity to facilitate social change in marginalized settings (Nguyen et al, 2021). Thus, CBOs are well-positioned to serve communities impactfully, given their history, knowledge, understanding, and reciprocal relationships with localized communities served (Smith et al, 2005;Wilson et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

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"We've got to somehow get the energy in a community that's already exhausted:" Motivations to engage in community-academic partnerships from Flint community leaders’ perspectives

Bustos¹,

Saucedo²

2022

Preprint

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Community engagement and partnerships are at the core of public health (Nguyen et al., 2021; Robillard et al., 2022). To address long-standing disparities among marginalized populations and communities of color, there is an urgent need to partner with community members and community-based organizations (CBOs) to co-create public health programs. The current paper focuses on community-academic partnerships (CAPs)—one strategy for engaging in community partnerships that can increase the capacity and implementation of public health practices. While impactful in practice, little is known about community partners’ perspectives on motivations for joining and continuing to participate with CAPs as compared to academic partners. The current study applies a case study approach using mixed methods to examine motivations to join and continue to participate in a CAP designed to advance health equity in Flint, Michigan. A sequential mixed-methods design was utilized to collect the breadth and depth of motivating factors, capturing a more comprehensive understanding of partner perspectives. Motivating factors were examined using survey data and qualitative interviews to identify key motivations to initiate at time-point 1 and to sustain engagement at time-point 2. Quantitative results highlighted motivating factors related to opportunities to collaborate with other agencies with shared philosophies, having shared values and mission in advancing health equity, and accessible opportunities to network across with such agencies. Qualitative findings expand on these responses, illustrating how community partners, in particular, recognized the need for collective action to overcome challenges in their community and the need for developing processes that could sustain long-term outcomes in Flint by accessing and leveraging resources (that would otherwise be unavailable) through academic partners. Findings from the study can be used to improve partnership dynamics in community practice.

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Piloting a spatial mixed method for understanding neighborhood tobacco use disparities

Holmes

McQuoid

Shah

et al. 2021

Social Science & Medicine

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The Role of Community-Based Organizations in Improving Chronic Care for Safety-Net Populations

Cited by 17 publications

References 26 publications

Assessing Alignment of Patient and Clinician Perspectives on Community Health Resources for Chronic Disease Management

Assessing Alignment of Patient and Clinician Perspectives on Community Health Resources for Chronic Disease Management

"We've got to somehow get the energy in a community that's already exhausted:" Motivations to engage in community-academic partnerships from Flint community leaders’ perspectives

Piloting a spatial mixed method for understanding neighborhood tobacco use disparities

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