Primary care and public health activities in select U.S. health centers: documenting successes, barriers, and lessons learned.
Primary care and public health activities in select U.S. health centers: documenting successes, barriers, and lessons learned.
复制标题
部分美国医疗中心的初级保健和公共卫生活动：记录成功、障碍和经验教训。
DOI：
10.1016/j.amepre.2012.03.011
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发表时间：
2012
影响因子：
5.5
通讯作者：
Q. Ngo
中科院分区：
文献类型：
--
作者：
L. A. Lebrun;Leiyu Shi;Joya Chowdhury;Alek Sripipatana;Jinsheng Zhu;Ravi Sharma;A. S. Hayashi;Charles A. Daly;N. Tomoyasu;S. Nair;Q. Ngo
PURPOSEThe goal of the current study was to examine primary care and public health activities among federally funded health centers, to better understand their successes, barriers encountered, and lessons learned.METHODSQualitative and quantitative methods were used to collect data from nine health centers, stratified by administrative division, urban–rural location, and race/ethnicity of patients served. Descriptive data on patient and institutional characteristics came from the Uniform Data System, which collects data from all health centers annually. Questionnaires were administered and phone interviews were conducted with key informants.RESULTSHealth centers performed well on primary care coordination and community orientation scales and reported conducting many essential public health activities. Specific needs were identified for integrating primary care and public health: (1) more funding for collaborations and for addressing the social determinants of health, (2) strong leadership to champion collaborations, (3) trust-building among partners, with shared missions and clear expectations of responsibilities, and (4) alignment and standardization of data collection, analysis, and exchange.CONCLUSIONSLessons learned from health centers should inform strategies to better integrate public health with primary care.
