Resident provider Contrasts in Community Health Priorities

1987 ◽  
Vol 4 (4) ◽  
pp. 242-246
Author(s):  
Mary Ann Ruffing-Rahal
Keyword(s):  
Community Health ◽  
Health Priorities

scholarly journals Pharmacist Involvement in Addressing Public Health Priorities and Community Needs: The Allegheny County Racial and Ethnic Approaches to Community Health (REACH) Project

2021 ◽  
Vol 18 ◽  
Author(s):  
Jennifer Padden Elliott ◽  
Stephanie N. Christian ◽  
Katie Doong ◽  
Hannah E. Hardy ◽  
Dara D. Mendez ◽  
...  
Keyword(s):  
Public Health ◽  
Community Health ◽  
Health Priorities ◽  
Allegheny County ◽  
Community Needs

scholarly journals Using Boundary Objects to Co-Create Community Health and Water Knowledge with Community-Based Medical Anthropology and Indigenous Knowledge

2020 ◽  
Vol 6 (1) ◽  
pp. 49-76
Author(s):  
Sarah Duignan ◽  
Tina Moffat ◽  
Dawn Martin-Hill
Keyword(s):  
Community Health ◽  
Indigenous Knowledge ◽  
Medical Anthropology ◽  
Health Survey ◽  
Water Contamination ◽  
Boundary Work ◽  
Boundary Objects ◽  
Boundary Object ◽  
Health Priorities ◽  
Community Based

This article explores how Indigenous Knowledge and medical anthropology can co-construct community health knowledge through boundary work and the use of boundary objects. It will highlight how community-based participatory research (CBPR) in medical anthropology can help co-develop methods and strategies with Indigenous research partners to assess the human health impact of the First Nations water crisis. We draw on a case study of our community-based approach to health research with Six Nations of the Grand River First Nation community stakeholders and McMaster University researchers. We highlight how framing a co-constructed health survey as a boundary object can create dialogical space for Indigenous and western academic pedagogies and priorities. We also explore how this CBPR anthropology approach, informed by Indigenous Knowledge, allows for deeper foundations of culturally centered health to guide our work in identifying current and future community health needs concerning these ongoing water contamination and access issues. Through three health survey versions, priorities and research questions shifted and expanded to suit growing community health priorities. This led to collaborative action to communicate specific messages around water contamination and access across governance, community, and institutional boundaries. We demonstrate how our co-constructed approach and boundary work allows for the respectful and reciprocal development of these long-term research partnerships and works in solidarity with the Two-Row Wampum (Kaswentha) treaty established by the Haudenosaunee Nation and European settler nations. 

State Health Department Accreditation Technical Assistance: A Focused Strategic Thinking Approach

2017 ◽  
Vol 3 (1_suppl) ◽  
pp. 67S-72S ◽  
Author(s):  
Peter M. Ginter ◽  
Lauren Wallace ◽  
Andrew C. Rucks
Keyword(s):  
Public Health ◽  
Health Outcomes ◽  
Community Health ◽  
Strategic Plan ◽  
Strategic Thinking ◽  
Health Priorities ◽  
Health Improvement ◽  
Health Departments ◽  
Public Health Departments ◽  
Public Health Training

Public health departments provide many services critical to maintaining healthy populations, including communicable disease control, immunizations, primary care, and emergency preparedness. The Public Health Accreditation Board (PHAB) has established an accreditation process for public health departments that measures departmental performance against nationally recognized, evidence-based standards. The goal is to recognize departmental strengths and weaknesses, strengthen partnerships, and promote the prioritization of organizational goals to improve community health. Achieving accreditation from the PHAB requires health departments to develop Community Health Assessment (CHA), Community Health Improvement Plan (CHIP), and Strategic Plan processes. The intent of the CHA is to determine contributing factors for poor health outcomes and assess available resources. Building on the CHA, the CHIP establishes health priorities and improvement strategies, including measurable health outcomes and recommended policy changes. Finally, Strategic Plan defines the health department’s strategic priorities, goals, and implementation plans. A number of methodologies are available to develop these plans, but many prove to be complicated and confusing, leading to suboptimal performance. The Alabama-Mississippi Public Health Training Center assisted the Alabama Department of Public Health with the creation of their plans by developing the Focused Strategic Thinking Approach, which supplied simple and effective processes to develop useful and successful plans. These processes provide useful guides for other public health departments developing their prerequisites as they pursue PHAB accreditation.

scholarly journals 25309 Applying Community Health Priorities to the Translational Research Agenda

2021 ◽  
pp. 1-2
Author(s):  
Jacquelyn Fede ◽  
Stephen Kogut ◽  
Anthony Hayward ◽  
John F. Stevenson ◽  
Amy Nunn ◽  
...  
Keyword(s):  
Community Health ◽  
Translational Research ◽  
Research Agenda ◽  
Health Priorities

scholarly journals 2438 Community-based research networks: Providing infrastructure for clinical and translational research in the State of Michigan

2018 ◽  
Vol 2 (S1) ◽  
pp. 65-66
Author(s):  
Meghan Spiroff ◽  
Patricia Piechowski ◽  
Karen D. Calhoun ◽  
Susan Goold ◽  
Ayse Buyuktur ◽  
...  
Keyword(s):  
Focus Groups ◽  
Community Health ◽  
Translational Research ◽  
Social Needs ◽  
Health Priorities ◽  
Health Improvement ◽  
Evaluation Tool ◽  
Community Members ◽  
Community Based Research ◽  
Clinical And Translational Research

OBJECTIVES/SPECIFIC AIMS: As the sole Clinical and Translational Science Award (CTSA) site in Michigan, the Michigan Institute for Clinical & Health Research (MICHR) at the University of Michigan (UM) is working to develop community networks that drive clinical and translational research on community-identified health priorities. METHODS/STUDY POPULATION: These CBRNs will be modeled from successful work that has been accomplished in Jackson, MI where stakeholders from the local healthcare community, County Health Department, Health Improvement Organization, and grassroots community members created a Community of Solution to address the unmet behavioral health and social needs of community members. The CBRN’s will focus on identifying community health priorities by receiving input from community members in underserved communities using deliberative software called Choosing All Together (CHAT). RESULTS/ANTICIPATED RESULTS: In the fall of 2017, 3 focus groups were held in Northern Michigan to identify community health priorities. The top 5 community health priorities include; (1) mental wellness, (2) long-term illness, (3) alcohol and drugs, (4) air, water, and land, and (5) affording care. Additional focus groups are scheduled for the winter in 2 additional geographic areas. DISCUSSION/SIGNIFICANCE OF IMPACT: Future work for the creation of CBRNs includes building leadership groups comprised of clinicians, community leaders, public health leaders, health system leaders and researchers to inform the leadership groups of community-identified health priorities. In addition, the team is working to identify a platform to connect academic investigators across UM and community partners on shared research priorities in real time. In order to measure and map relationships within the networks, we are planning to utilize Social Network Analysis as an evaluation tool.

scholarly journals Governance of community health worker programs in a decentralized health system: a qualitative study in the Philippines

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Warren Dodd ◽  
Amy Kipp ◽  
Bethany Nicholson ◽  
Lincoln Leehang Lau ◽  
Matthew Little ◽  
...  
Keyword(s):  
Health System ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Local Governments ◽  
Local Politics ◽  
The Philippines ◽  
Health Needs ◽  
Health Priorities ◽  
Local Health

Abstract Background Community health worker (CHW) programs are an important resource in the implementation of universal health coverage (UHC) in many low- and middle-income countries (LMICs). However, in countries with decentralized health systems like the Philippines, the quality and effectiveness of CHW programs may differ across settings due to variations in resource allocation and local politics. In the context of health system decentralization and the push toward UHC in the Philippines, the objective of this study was to explore how the experiences of CHWs across different settings were shaped by the governance and administration of CHW programs. Methods We conducted 85 semi-structured interviews with CHWs (n = 74) and CHW administrators (n = 11) in six cities across two provinces (Negros Occidental and Negros Oriental) in the Philippines. Thematic analysis was used to analyze the qualitative data with specific attention to how the experiences of participants differed within and across geographic settings. Results Health system decentralization contributed to a number of variations across settings including differences in the quality of human resources and the amount of financial resources allocated to CHW programs. In addition, the quality and provider of CHW training differed across settings, with implications for the capacity of CHWs to address specific health needs in their community. Local politics influenced the governance of CHW programs, with CHWs often feeling pressure to align themselves politically with local leaders in order to maintain their employment. Conclusions The functioning of CHW programs can be challenged by health system decentralization through the uneven operationalization of national health priorities at the local level. Building capacity within local governments to adequately resource CHWs and CHW programs will enhance the potential of these programs to act as a bridge between the local health needs of communities and the public health system.

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