BACKGROUND AND OBJECTIVES Engaging communities in authentic partnerships is increasingly accepted as best practice in both medicine and public health, despite the many barriers to doing so. New medical schools have an opportunity to incorporate community engagement into their very foundation. In rural northeast Pennsylvania, a new medical school used a regional health assessment to engage commu...

IN “TOWARDS A CANADIAN MODEL OF INTEGRATED HEALTHCARE,” Leatt, Pink and Guerriere conclude that “although [the move to regional health authorities] may have reduced some of the problems of uncoordinated care among organizations, it is not clear whether it has improved integration of many patientcare processes.” The authors provide a variety of frameworks to assess the extent to which “integrati...

BACKGROUND The Charlotte-Mecklenburg region has one of the fastest growing Hispanic communities in the country. This population has experienced disparities in health outcomes and diminished ability to access healthcare services. This city is home to an established practice-based research network (PBRN) that includes community representatives, health services researchers, and primary care provid...

Health services have the functions to define community health problems, to identify unmet needs and survey the resources to meet them, to establish SMART objectives, and to project administrative actions to accomplish the purpose of proposed action programs. For maximum efficacy, health systems should rely on newer approaches of management as management-by-objectives, risk-management, and perfo...

BACKGROUND Community health workers (CHWs) are a component of the health system in many countries, providing effective community-based services to mothers and infants. However, implementation of CHW programmes at scale has been challenging in many settings. AIM To explore the acceptability of CHWs conducting household visits to mothers and infants during pregnancy and after delivery, from the...

ABSTRACTThe article examines where older adults seek help in caring for a parent with dementia and the factors associated with their identification of community health and support services as sources of assistance. The authors conducted telephone interviews, using random digit dialing, of 1,152 adults aged 50 and over in the city of Hamilton. Respondents received a vignette that raised issues r...

Taking Culture Seriously in Community Mental Health is an Ontariobased community based participatory action research project devoted to developing, pilot testing, and evaluating mental health service models grounded in the concept of “cultural empowerment.” In order to stimulate knowledge mobilization efforts among partners, to clarify expectations held by members of the diverse groups particip...

CONTEXT The use of peer providers in family planning clinics has been proposed as a strategy that could better serve sexually active adolescent populations. METHODS Baseline and follow-up survey data from 1,424 female and 166 male adolescent clients of five California community health clinics were analyzed to assess the effectiveness of a peer provider model between 1996 and 1999. Multivariab...

BACKGROUND Institutionalization is the most important milestone in the care of dementia patients. This study was aimed at identifying relevant predictors of institutionalization in a broad empirical context and interpreting them on the basis of the predictor model proposed by Luppa et al. [Dement Geriatr Cogn Disord 2008;26:65-78]. METHODS At the start of this study, 357 patients with mild to...

BACKGROUND Small-scale community health worker (CHW) programs provide basic health services and strengthen health systems in resource-poor settings. This paper focuses on improving CHW performance by providing individual feedback to CHWs working with an mHealth program to address malnutrition in children younger than 5 years. OBJECTIVE The paper aims to evaluate the immediate and retention ef...