Health care system collaboration to address chronic diseases: a nationwide snapshot from state public health practitioners.
Health care system collaboration to address chronic diseases: a nationwide snapshot from state public health practitioners.
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医疗保健系统合作应对慢性病：州公共卫生从业者的全国概况。
DOI：
10.5888/pcd11.140075
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发表时间：
2014-09-04
影响因子：
5.5
通讯作者：
Brownson RC
中科院分区：
文献类型：
--
作者：
Elliott L;McBride TD;Allen P;Jacob RR;Jones E;Kerner J;Brownson RC
直到最近，美国的医疗保健系统还常常缺乏预防和管理慢性病的统一方法。最近，人们呼吁加强公共卫生和卫生保健系统之间的合作，以更好地协调服务和计划的提供，从而努力缩小这一差距。目前，公共卫生人员的反应程度相对未知。本研究的目的是探索基于人口的州公共卫生从业人员样本中的医疗保健系统合作努力和活动。 2013 年春季，对州级慢性病公共卫生从业人员进行了一项全国调查。受访者被要求表明他们是否与医疗保健系统合作。那些回答“是”的人被要求指出他们合作的所有主题领域，并提供他们合作工作的定性示例。共有 759 名受访者 (84%) 报告了合作。合作活动的共同主题是烟草、心血管健康和癌症筛查。在提供的定性示例中发现更多以客户为导向的干预措施，而不是全系统干预措施。进行合作的受访者也更有可能使用社区指南，使用基于证据的决策，并在涉及二级而非一级预防的项目领域开展工作。研究结果表明，需要对涉及全系统和跨系统干预的合作工作提供更多指导。社区指南和循证培训课程等工具可能有助于提供此类指导。
Until recently, health care systems in the United States often lacked a unified approach to prevent and manage chronic disease. Recent efforts have been made to close this gap through various calls for increased collaboration between public health and health care systems to better coordinate provision of services and programs. Currently, the extent to which the public health workforce has responded is relatively unknown. The objective of this study is to explore health care system collaboration efforts and activities among a population-based sample of state public health practitioners. During spring 2013, a national survey was administered to state-level chronic disease public health practitioners. Respondents were asked to indicate whether or not they collaborate with health care systems. Those who reported “yes” were asked to indicate all topic areas in which they collaborate and provide qualitative examples of their collaborative work. A total of 759 respondents (84%) reported collaboration. Common topics of collaboration activities were tobacco, cardiovascular health, and cancer screening. More client-oriented interventions than system-wide interventions were found in the qualitative examples provided. Respondents who collaborated were also more likely to use the Community Guide, use evidence-based decision making, and work in program areas that involved secondary, rather than primary, prevention. The study findings indicate a need for greater guidance on collaboration efforts that involve system-wide and cross-system interventions. Tools such as the Community Guide and evidence-based training courses may be useful in providing such guidance.
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影响因子：
12.7
作者：
Calman, Neil;Hauser, Diane;Pichardo, Michelle
通讯作者：
Pichardo, Michelle
DOI：
10.1097/01.phh.0000311891.73078.50
发表时间：
2008-03-01
影响因子：
3.3
作者：
Dreisinger, Mariah;Leet, Terry L.;Brownson, Ross C.
通讯作者：
Brownson, Ross C.
影响因子：
9.7
作者：
Coleman, Katie;Austin, Brian T.;Wagner, Edward H.
通讯作者：
Wagner, Edward H.
影响因子：
5.5
作者：
Gourevitch, Marc N;Cannell, Thomas;Summers, Cynthia
通讯作者：
Summers, Cynthia
DOI：
10.1197/jamia.m2555
发表时间：
2008-05-01
影响因子：
6.4
作者：
Dexheimer, Judith W.;Talbot, Thomas R.;Aronsky, Dominik
通讯作者：
Aronsky, Dominik