BACKGROUND Understanding and enhancing change capabilities, including Practice Adaptive Reserve (PAR), of Community Health Centers (CHCs) may mitigate cancer-related health disparities. MATERIALS AND METHODS Using stratified random sampling, we recruited 232 staff from seven CHCs serving Asian Pacific Islander communities to complete a self-administered survey. We performed multilevel regress...

PURPOSE To determine whether an educational brochure or a lottery-type incentive increases influenza immunization rates. PATIENTS AND METHODS In a prospective, single-blind factorial design randomized trial at an urban community health center, all high-risk patients (n = 797) seen in the preceding 18 months were randomly assigned to one of four groups: a control group; a group mailed a large ...

The patient-centered medical home model holds the potential for reducing disease complications and improving health, and the federal government is now promoting the adoption of the model within federally qualified community health centers. In a group of Los Angeles community health centers, we found that all would have qualified as patient-centered medical homes under a widely used assessment t...

BACKGROUND AND OBJECTIVES There are many challenges to providing procedural skills training as well as exposure to rural practice for family medicine residents, especially within the allowed hours of training. METHODS A curriculum for self study was developed based on a Society of Teachers of Family Medicine consensus statement on procedural skills, resident interest and faculty experience. A...

OBJECTIVES In the United States, universal screening for group B streptococcal (GBS) colonization is recommended at 35 to 37 weeks' gestation. Previous studies have shown equivalent detection rates for GBS when women receive uniform instruction about specimen collection. It is unclear if these results would hold among patients with limited education given minimal, nonuniform instruction about c...

BACKGROUND Domestic violence is a major personal and public health concern affecting women of all walks of life. Physicians have reported the need for screening instruments to help recognize abuse; several have been validated in English. No screening tools thus far have been validated in other languages. METHODS We translated a previously validated tool, the Woman Abuse Screening Tool (WAST),...

ABOUT THE AUTHORS: Enrique Nieves Jr is the Acting Director of the Division of Integrated Surveillance Systems and Services (DISSS), National Center for Public for Health Informatics (NCPHI), Coordinating Center for Health information and Service (CCHIS), Centers for Disease Control and Prevention (CDC), Atlanta, USA. Jay Jones is a BearingPoint Consultant to the CDC/NCPHI Division of Alliance ...

Reflecting on the current reorganization of the relationship between the state and civil society, the health care field is involved in an intense debate over the organization and use of government and private health services. The authors propose an alternative, consisting of the implementation of primary health care clinics, managed by local institutions and funded by the Unified Health System....

BACKGROUND There are three major models of primary care providers (Community Health Centers, CHCs) in China, i.e., government managed, hospital managed and privately owned CHCs. We performed a systematic review of structures and health care delivery patterns of the three models of CHCs. METHODS Studies from relevant English and Chinese databases for the period of 1997-2011 were searched. Two ...

The current issue consists of interesting topics ranging from the design of visualizations for big health data; formulating an ontological framework for analyzing health policy; development of near real-time surveillance models using social media; asthma exacerbation risk predictions; deployment of analytics in community health centers; using Google reviews to assess the risk of elder abuse; th...