Linkages between clinical practices and community organizations for prevention: a literature review and environmental scan.
Linkages between clinical practices and community organizations for prevention: a literature review and environmental scan.
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DOI：
10.1016/j.amepre.2012.03.018
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发表时间：
2012-06-01
影响因子：
12.7
通讯作者：
Roussel, Amy
中科院分区：
文献类型：
--
作者：
Porterfield, Deborah S;Hinnant, Laurie W;Roussel, Amy
目的：我们进行了文献回顾和环境扫描，以制定一个框架，利用临床实践和社区组织之间的联系，提供预防服务的干预措施，并确定和表征这些努力。方法：我们搜索了4个主要的卫生服务和社会科学电子数据库，并进行了互联网搜索，以确定戒烟，肥胖，结果：我们确定了49项干预措施，其中18例描述了他们的评估方法或报告了任何干预结果。几乎没有进行过足够严格的评估，以捕捉中期或长期健康结果的变化。在这些评估的结果主要是以病人为中心，并没有包括组织或联动characteristics.CONCLUSIONS：一个有吸引力的选择，以增加预防服务的提供是初级保健的做法，社区组织的联系，证据尚未得出结论，但是，这种联系的干预措施是有效的。研究结果提供了建议，研究人员和资助研究的组织，并呼吁一个框架和指标，研究联动干预措施。
OBJECTIVES: We conducted a literature review and environmental scan to develop a framework for interventions that utilize linkages between clinical practices and community organizations for the delivery of preventive services, and to identify and characterize these efforts.METHODS: We searched 4 major health services and social science electronic databases and conducted an Internet search to identify examples of linkage interventions in the areas of tobacco cessation, obesity, nutrition, and physical activity.RESULTS: We identified 49 interventions, of which 18 examples described their evaluation methods or reported any intervention outcomes. Few conducted evaluations that were rigorous enough to capture changes in intermediate or long-term health outcomes. Outcomes in these evaluations were primarily patient-focused and did not include organizational or linkage characteristics.CONCLUSIONS: An attractive option to increase the delivery of preventive services is to link primary care practices to community organizations; evidence is not yet conclusive, however, that such linkage interventions are effective. Findings provide recommendations to researchers and organizations that fund research, and call for a framework and metrics to study linkage interventions.