scholarly journals Development of a research registry for primary care community-based research

2005 ◽  
Vol 22 (4) ◽  
pp. 358-360 ◽  
Author(s):  
Janine E Janosky ◽  
Susan B Laird ◽  
Jamar D Robinson ◽  
Jeannette E South-Paul
Keyword(s):  
Primary Care ◽  
Community Based ◽  
Community Based Research ◽  
Care Community

Community Partnerships: The Cornerstone of Community Health Research

2004 ◽  
Vol 22 (1) ◽  
pp. 315-329 ◽  
Author(s):  
CARMEN J. PORTILLO ◽  
CATHERINE WATERS
Keyword(s):  
Health Care ◽  
Ethnic Disparities ◽  
Community Partnerships ◽  
Community Research ◽  
Racial And Ethnic Disparities ◽  
Institute Of Medicine ◽  
Community Based ◽  
Community Based Research ◽  
Care Community ◽  
Unequal Treatment

Community partnerships have been recognized as the cornerstone of community research. The recent Institute of Medicine report, Unequal Treatment, puts forth the idea of creating community partnerships as a strategy to address racial and ethnic disparities in health care. Community-based research is frequently reported in the literature as a study conducted in the community versus with the community. The objective of this review is to examine models of community partnerships, to consider their implications for community-based research, and to identify directions for future nursing research.

scholarly journals Provider-Related Linkages Between Primary Care Clinics and Community-Based Senior Centers Associated With Diabetes-Related Outcomes

2018 ◽  
Vol 39 (6) ◽  
pp. 635-643
Author(s):  
Polly Hitchcock Noël ◽  
Chen-Pin Wang ◽  
Erin P. Finley ◽  
Sara E. Espinoza ◽  
Michael L. Parchman ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Institute Of Medicine ◽  
Management Support ◽  
Care Providers ◽  
Community Based ◽  
Senior Centers ◽  
Care Community ◽  
Primary Care Clinics ◽  
Primary Care Practices

The Institute of Medicine (IOM) suggests that linkages between primary care practices and community-based resources can improve health in lower income and minority patients, but examples of these are rare. We conducted a prospective, mixed-methods observational study to identify indicators of primary care–community linkage associated with the frequency of visits to community-based senior centers and improvements in diabetes-related outcomes among 149 new senior center members (72% Hispanic). We used semistructured interviews at baseline and 9-month follow-up, obtaining visit frequency from member software and clinical assessments including hemoglobin A1c (HbA1c) from colocated primary care clinics. Members’ discussion of their activities with their primary care providers (PCPs) was associated with increased visits to the senior centers, as well as diabetes-related improvements. Direct feedback from the senior centers to their PCPs was desired by the majority of members and may help to reinforce use of community resources for self-management support.

scholarly journals Evidence for models of diagnostic service provision in the community: literature mapping exercise and focused rapid reviews

2016 ◽  
Vol 4 (35) ◽  
pp. 1-362 ◽  
Author(s):  
Duncan Chambers ◽  
Andrew Booth ◽  
Susan K Baxter ◽  
Maxine Johnson ◽  
Katherine C Dickinson ◽  
...  
Keyword(s):  
Primary Care ◽  
Secondary Care ◽  
Clinical Effectiveness ◽  
Community Settings ◽  
Community Based ◽  
Care Community ◽  
Diagnostic Technology ◽  
Literature Mapping ◽  
Community Based Services ◽  
Mapping Exercise

BackgroundCurrent NHS policy favours the expansion of diagnostic testing services in community and primary care settings.ObjectivesOur objectives were to identify current models of community diagnostic services in the UK and internationally and to assess the evidence for quality, safety and clinical effectiveness of such services. We were also interested in whether or not there is any evidence to support a broader range of diagnostic tests being provided in the community.Review methodsWe performed an initial broad literature mapping exercise to assess the quantity and nature of the published research evidence. The results were used to inform selection of three areas for investigation in more detail. We chose to perform focused reviews on logistics of diagnostic modalities in primary care (because the relevant issues differ widely between different types of test); diagnostic ultrasound (a key diagnostic technology affected by developments in equipment); and a diagnostic pathway (assessment of breathlessness) typically delivered wholly or partly in primary care/community settings. Databases and other sources searched, and search dates, were decided individually for each review. Quantitative and qualitative systematic reviews and primary studies of any design were eligible for inclusion.ResultsWe identified seven main models of service that are delivered in primary care/community settings and in most cases with the possible involvement of community/primary care staff. Not all of these models are relevant to all types of diagnostic test. Overall, the evidence base for community- and primary care-based diagnostic services was limited, with very few controlled studies comparing different models of service. We found evidence from different settings that these services can reduce referrals to secondary care and allow more patients to be managed in primary care, but the quality of the research was generally poor. Evidence on the quality (including diagnostic accuracy and appropriateness of test ordering) and safety of such services was mixed.ConclusionsIn the absence of clear evidence of superior clinical effectiveness and cost-effectiveness, the expansion of community-based services appears to be driven by other factors. These include policies to encourage moving services out of hospitals; the promise of reduced waiting times for diagnosis; the availability of a wider range of suitable tests and/or cheaper, more user-friendly equipment; and the ability of commercial providers to bid for NHS contracts. However, service development also faces a number of barriers, including issues related to staffing, training, governance and quality control.LimitationsWe have not attempted to cover all types of diagnostic technology in equal depth. Time and staff resources constrained our ability to carry out review processes in duplicate. Research in this field is limited by the difficulty of obtaining, from publicly available sources, up-to-date information about what models of service are commissioned, where and from which providers.Future workThere is a need for research to compare the outcomes of different service models using robust study designs. Comparisons of ‘true’ community-based services with secondary care-based open-access services and rapid access clinics would be particularly valuable. There are specific needs for economic evaluations and for studies that incorporate effects on the wider health system. There appears to be no easy way of identifying what services are being commissioned from whom and keeping up with local evaluations of new services, suggesting a need to improve the availability of information in this area.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

scholarly journals Investigating group-based classes (‘weaning workshops’) to support complementary infant feeding in Irish primary care settings: A cross-sectional survey

2021 ◽  
Author(s):  
Caragh Flannery ◽  
Caroline Shea ◽  
Yvonne O’Brien ◽  
Joanne O’Halloran ◽  
Karen Matvienko-Sikar ◽  
...  
Keyword(s):  
Primary Care ◽  
Socioeconomic Status ◽  
Infant Feeding ◽  
Key Factors ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Care Community ◽  
Primary Care Settings ◽  
Delivery Options

AbstractObjectiveThis study aims to 1) investigate current practice regarding ‘weaning workshops’ to support complementary infant feeding delivered within Irish primary care, 2) explore the experiences and opinions of community dietitians regarding optimal content and modes of delivery of weaning workshops, and 3) identify the key factors to be considered in the development and implementation of weaning workshops delivered within primary care.DesignCross-sectional surveySettingIrish primary careParticipants47 community-based dietitiansResultsSixteen dietitians reported that workshops were run in their area with variable frequency, with ten reporting that workshops were never run in their area. Participants reported that mostly mothers of medium socioeconomic status attended weaning workshops when infants were aged between 4-7 months, and that feedback from workshop attendees was predominantly positive. Dietitians identified that key factors to be considered in future development and delivery of weaning workshops are 1) workshop characteristics such as content, timing and venue, 2) organisational characteristics such as availability of resources and multidisciplinary involvement, and 3) attendee characteristics such as socioeconomic status.ConclusionsThis study highlights substantial variability regarding provision of weaning workshops in Ireland, and a lack of standardisation regarding the provider, content, and frequency of workshops where workshops are being delivered. The study also provides unique insights into the experiences and opinions of primary care community dietitians regarding the development and delivery of weaning workshops in terms of optimal content and delivery options. These perspectives will make a valuable contribution given the dearth of evidence in this area internationally.

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