Статті в журналах: "Harvard Community Health Plan"

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Schoenbaum, Stephen C., and G. Octo Barnett. "Automated Ambulatory Medical Records Systems: An Orphan Technology." International Journal of Technology Assessment in Health Care 8, no. 4 (1992): 598–609. http://dx.doi.org/10.1017/s0266462300002300.

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AbstractAutomated ambulatory medical records systems (AAMRSs) have been operational for over 20 years but have not been adopted by more than a small fraction of their potential users. This paper presents a detailed analysis of the uses and benefits of the COSTAR-based AAMRS at the Harvard Community Health Plan and of the factors which have inhibited the dissemination of COSTAR. We conclude that AAMRSs have been an orphan technology and cite trends in health care that favor the future development of AAMRSs.

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Stewart, Matthew, Bridget Grahmann, Ariel Fillmore, and L. Scott Benson. "Rural Community Disaster Preparedness and Risk Perception in Trujillo, Peru." Prehospital and Disaster Medicine 32, no. 4 (April 11, 2017): 387–92. http://dx.doi.org/10.1017/s1049023x17006380.

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AbstractIntroductionDisasters will continue to occur throughout the world and it is the responsibility of the government, health care systems, and communities to adequately prepare for potential catastrophic scenarios. Unfortunately, low-and-middle-income countries (LMICs) are especially vulnerable following a disaster. By understanding disaster preparedness and risk perception, interventions can be developed to improve community preparedness and avoid unnecessary mortality and morbidity following a natural disaster.ProblemThe purpose of this study was to assess disaster preparedness and risk perception in communities surrounding Trujillo, Peru.MethodsAfter designing a novel disaster preparedness and risk perception survey based on guidelines from the International Federation of Red Cross and Red Crescent Societies (IFRC; Geneva, Switzerland), investigators performed a cross-sectional survey of potentially vulnerable communities surrounding Trujillo, Peru. Data were entered and analyzed utilizing the Research Electronic Data Capture (REDCap; Harvard Catalyst; Boston, Massachusetts USA) database.ResultsA total of 230 study participants were surveyed, composed of 37% males, 63% females, with ages ranging from 18-85 years old. Those surveyed who had previously experienced a disaster (41%) had a higher perception of future disaster occurrence and potential disaster impact on their community. Overall, the study participants consistently perceived that earthquakes and infection had the highest potential impact of all disasters. Twenty-six percent of participants had an emergency supply of food, 24% had an emergency water plan, 24% had a first aid kit at home, and only 20% of the study participants had an established family evacuation plan.ConclusionNatural and man-made disasters will remain a threat to the safety and health of communities in all parts of the world, especially within vulnerable communities in LMICs; however, little research has been done to identify disaster perception, vulnerability, and preparedness in LMIC communities. The current study established that selected communities near Trujillo, Peru recognize a high disaster impact from earthquakes and infection, but are not adequately prepared for potential future disasters. By identifying high-risk demographics, targeted public health interventions are needed to prepare vulnerable communities in the following areas: emergency food supplies, emergency water plan, medical supplies at home, and establishing evacuation plans.StewartM, GrahmannB, FillmoreA, BensonLS. Rural community disaster preparedness and risk perception in Trujillo, Peru. Prehosp Disaster Med. 2017;32(4):387–392.

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MULLOOLY, J. P., K. RIEDLINGER, C. CHUN, S. WEINMANN, and H. HOUSTON. "Incidence of herpes zoster, 1997–2002." Epidemiology and Infection 133, no. 2 (March 2, 2005): 245–53. http://dx.doi.org/10.1017/s095026880400281x.

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We estimated age-specific herpes zoster (HZ) incidence rates in the Kaiser Permanente Northwest Health Plan (KPNW) during 1997–2002 and tested for secular trends and differences between residents of two states with different varicella vaccine coverage rates. The cumulative proportions of 2-year-olds vaccinated increased from 35% in 1997 to 85% in 2002 in Oregon, and from 25% in 1997 to 82% in 2002 in Washington. Age-specific HZ incidence rates in KPNW during 1997–2002 were compared with published rates in the Harvard Community Health Plan (HCHP) during 1990–1992. The overall HZ incidence rate in KPNW during 1997–2002 (369/100000 person-years) was slightly higher than HCHP's 1990–1992 rate when adjusted for age differences. For children 0–14 years old, KPNW's rates (182 for females, 123 for males) were more than three times HCHP's rates (54 for females, 39 for males). This increase appears to be associated with increased exposure of children to oral corticosteroids. The percentage of KPNW children exposed to oral corticosteroids increased from 2·2% in 1991 to 3·6% in 2002. Oregon residents had slightly higher steroid exposure rates during 1997–2002 than Washington residents. There were significant increases in HZ incidence rates in Oregon and Washington during 1997–2002 among children aged 10–17 years, associated with increased exposure to oral steroids.

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Mollica, Richard, Giovanni Muscettola, Eugene Augusterfer, Qiuyuan Qin, and Fanny Cai. "Harvard Medical School Global Mental Health: Trauma and Recovery Course: What is the Global Impact? Three Year’s Results." Mental Health: Global Challenges Journal 7, no. 1 (March 11, 2024): 27–40. http://dx.doi.org/10.56508/mhgcj.v7i1.186.

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Purpose: This paper describes and documents an innovative blended learning Global Mental Health: Trauma and Recovery certificate training course. This course combines a two-week face-to-face training in Orvieto, Italy with a five-month follow-up online virtual training as a learning experience for global health care practitioners. Continuing medical education (CME) accreditation is offered upon completion. This course utilized an innovative blended learning model with a community of practice approach, a combination of lectures and discussions, and online in-depth group case study discussions. Methodology: Data was collected by self-reported anonymous evaluation by participants of three continuous years of the CME Global Mental Health: Trauma and Recovery certificate training course sponsored by Harvard Medical School. One hundred fifty-five participants (n= 39 in 2011; n = 57 in 2012; n=59 in 2013) underwent a pre- and post-course evaluation to determine sustained confidence in performing medical and psychiatric care to traumatized patients and communities, as well as to determine their learning of the Global Mental Health Action Plan (GMHAP). Results: Over the course of three independent years, a total of 155 participants were evaluated. There was evidence for significant improvement in their confidence levels in all clinical areas (diagnosis; treatment of trauma; use of psychotropic medication) when comparing baseline to completion of the six-month course. All ten dimensions of the GMHAP and nine medical and psychiatric aspects of treatment revealed significant improvement in confidence levels. Regression analysis also indicated similar results after the adjustment of demographic covariates. Physicians and participants with mental health and social work background had significantly higher confidence. Participants who were MD’s or psychiatrists had higher confidence in most of the categories of confidence except for self-care, understanding culture, collaboration, and policy and financing. The model showed no difference in learning based upon gender and level of development of country of origin. Conclusion: The evaluation of this blended learning CME program provides evidence of significant enhancement of clinical practice and planning skills in health care practitioners working with highly traumatized patients and communities worldwide. This successful training over the past 18 years has gone far to achieve the health and mental health capacity building as requested by the Ministers of Health from post-conflict societies in the historic Rome meeting in 2004.

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Lee, Edmund WJ, Rachel F. McCloud, and Kasisomayajula Viswanath. "Designing Effective eHealth Interventions for Underserved Groups: Five Lessons From a Decade of eHealth Intervention Design and Deployment." Journal of Medical Internet Research 24, no. 1 (January 7, 2022): e25419. http://dx.doi.org/10.2196/25419.

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Despite the proliferation of eHealth interventions, such as web portals, for health information dissemination or the use of mobile apps and wearables for health monitoring, research has shown that underserved groups do not benefit proportionately from these eHealth interventions. This is largely because of usability issues and the lack of attention to the broader structural, physical, and psychosocial barriers to technology adoption and use. The objective of this paper is to draw lessons from a decade of experience in designing different user-centered eHealth interventions (eg, web portals and health apps) to inform future work in leveraging technology to address health disparities. We draw these lessons from a series of interventions from the work we have done over 15 years in the Viswanath laboratory at the Dana-Farber Cancer Institute and Harvard TH Chan School of Public Health, focusing on three projects that used web portals and health apps targeted toward underserved groups. The projects were the following: Click to Connect, which was a community-based eHealth intervention that aimed to improve internet skills and health literacy among underserved groups by providing home access to high-speed internet, computer, and internet training classes, as well as a dedicated health web portal with ongoing technical support; PLANET MassCONECT, which was a knowledge translation project that built capacity among community-based organizations in Boston, Lawrence, and Worcester in Massachusetts to adopt evidence-based health promotion programs; and Smartphone App for Public Health, which was a mobile health research that facilitated both participatory (eg, surveys) and passive data (eg, geolocations and web-browsing behaviors) collection for the purpose of understanding tobacco message exposure in individuals’ built environment. Through our work, we distilled five key principles for researchers aiming to design eHealth interventions for underserved groups. They are as follows: develop a strategic road map to address communication inequalities (ie, a concrete action plan to identify the barriers faced by underserved groups and customize specific solutions to each of them), engage multiple stakeholders from the beginning for the long haul, design with usability—readability and navigability—in mind, build privacy safeguards into eHealth interventions and communicate privacy–utility tradeoffs in simplicity, and strive for an optimal balance between open science aspirations and protection of underserved groups.

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Bastick, Emily, Suili Bot, Simone J. W. Verhagen, Gerhard Zarbock, Joan Farrell, Odette Brand-de Wilde, Arnoud Arntz, and Christopher William Lee. "The Development and Psychometric Evaluation of the Group Schema Therapy Rating Scale – Revised." Behavioural and Cognitive Psychotherapy 46, no. 5 (January 26, 2018): 601–18. http://dx.doi.org/10.1017/s1352465817000741.

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Background: Recent research has supported the efficacy of schema therapy as a treatment for personality disorders. A group format has been developed (group schema therapy; GST), which has been suggested to improve both the clinical and cost-effectiveness of the treatment. Aims: Efficacy studies of GST need to assess treatment fidelity. The aims of the present study were to improve, describe and evaluate a fidelity measure for GST, the Group Schema Therapy Rating Scale – Revised (GSTRS-R). Method: Following a pilot study on an initial version of the scale (GSTRS), items were revised and guidelines were modified in order to improve the reliability of the scale. Students highly experienced with the scale rated recorded GST therapy sessions using the GSTRS-R in addition to a group cohesion measure, the Harvard Community Health Plan Group Cohesiveness Scale – II (GCS-II). The scores were used to assess internal consistency and inter-rater reliability. Discriminant validity was assessed by comparing the scores on the GSTRS-R with the GCS-II. Results: The GSTRS-R displayed substantial internal consistency and inter-rater reliability, and adequate discriminate validity, evidenced by a weak positive correlation with the GCS-II. Conclusions: Overall, the GSTRS-R is a reliable tool that may be useful for evaluating therapist fidelity to GST model, and assisting GST training and supervision. Initial validity was supported by a weak association with GCS-II, indicating that although associated with cohesiveness, the instrument also assesses factors specific to GST. Limitations are discussed.

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Tran, Tuan. "The First Annual National Vietnam Medical Education Conference “Preparing the 21st Century Physician”." MedPharmRes 2, no. 1 (April 2, 2018): 1–2. http://dx.doi.org/10.32895/ump.mpr.2.1.1/suffix.

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President of University of Medicine and Pharmacy at Ho Chi Minh City, Department of Pediatrics - UMP We are delighted to introduce the Special Issue for the medical education derived from the 1st National Vietnam Medical Education Conference: “Preparing the 21st Century Physician”. The First Annual National Vietnam Medical Education Conference was held on 2-3 December, 2017, by the Vietnam Ministry of Health, University of Medicine and Pharmacy in Ho Chi Minh City, and the Improving Access, Curriculum and Teaching in Medical Education and Emerging Diseases (IMPACT-MED) Alliance, which is supported by United States Agency for International Development (USAID) and implemented by Partnership for Health Advancement Vietnam, a collaboration between Harvard Medical School, the Brigham & Women’s Hospital and the Beth Israel Deaconess Medical Center. It has attracted approximately 300 leaders in the medical education, faculties and students from Vietnam and around the world. This conference comes at an exciting time in the socio-economic development of Vietnam. The Vietnamese health sector has made enormous strides in the control of communicable diseases, increasing the life expectancy and increasing access to the health care for its population over the past 40 years since the reunification of the country. In July 2017, Vietnam became a middle-income country, and with this new status comes new health challenges, which if not addressed, will impede the continued development of the country. Non-communicable diseases, a rapidly aging population, emerge threats of pandemics, environmental pollution, and climate change are all at our doorstep. Additionally, an increasingly connected society that demands a high-quality healthcare, the government’s plan for Universal Health Care, and the desire for regional and an international integration all represent the challenges and opportunities that we must tackle. Addressing these challenges and opportunities starts with transforming the health workforce. There is an urgent need to update the country’s system of health education including university curricula and transforming approaches to teaching and learning to train health professionals who can adapt and react to the health challenges and realize the opportunities that are presented. A comprehensive curriculum reform is difficult. However, we can build upon the experience of previous, smaller-scale reform projects, and capitalize on the investments and support from the highest level of government to transform our health education system. We have built strong partnerships among the network of universities and colleges in Vietnam to support each other, and we also have support from international partners. Education reform is a necessity for Vietnam. The conversations and discussions that we have at this inaugural conference will pave the way towards the transformation of our health education system. The conference aims to provide a forum for sharing innovations and advances in the medical education, stimulate discussions among medical education leaders, inspire further innovations, and foster a community of medical educators invested in advancing medical education research and quality improvement. This entire volume is devoted to select the manuscripts, which was generated from the conference. We hope that it will be productive, and you will be inspired, energized and motivated to continue the efforts towards health education reform for your university/college, and for the country of Vietnam.

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Lewis, Barbara Edelman. "Research at Fallon Community Health Plan." Medical Care Research and Review 53, no. 1_suppl (March 1996): 92–103. http://dx.doi.org/10.1177/1077558796053001s08.

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Miller, Frances H., and Walter W. Miller. "Lessons to Be Learned from Harvard Pilgrim HMO's Fiscal Roller Coaster Ride." Journal of Law, Medicine & Ethics 28, no. 3 (2000): 287–304. http://dx.doi.org/10.1111/j.1748-720x.2000.tb00673.x.

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The recent high-profile financial difficulties of Harvard Pilgrim Health Care, the largest HMO in Massachusetts and consistently rated as one of the top ten HMOs in the nation, shed light on many problems common to health insurers throughout the country. This article explores those difficulties in the context of the short but complicated history of Harvard Pilgrim, and its regulatory and competitive environments. The state legislation which made a receivership proceeding possible for Harvard Pilgrim offered some protection for subscribers, but failed to provide the means for achieving a long term solution. The statute merely presented a method for staving off immediate collapse by temporarily protecting the plan from dissolution, and forcing the plan's contracting providers to continue delivering care even if owed money by the plan. The article concludes by drawing lessons for understanding and ideally avoiding similar managed care nearfatalities in the future.

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Abrams, Helen S. "Harvard community health plan's mental health redesign project: A managerial and clinical partnership." Psychiatric Quarterly 64, no. 1 (1993): 13–31. http://dx.doi.org/10.1007/bf01071836.

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Goodman, Andrew. "President Obama's Health Plan and Community-Based Prevention." American Journal of Public Health 99, no. 10 (October 2009): 1736–38. http://dx.doi.org/10.2105/ajph.2009.174714.

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Yap, Diana. "Health plan starts P4P program for community pharmacies." Pharmacy Today 20, no. 2 (February 2014): 44–45. http://dx.doi.org/10.1016/s1042-0991(15)30987-7.

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Schneider, Dona. "Community child health: An action plan for today." Social Science & Medicine 43, no. 3 (August 1996): 425. http://dx.doi.org/10.1016/0277-9536(96)82928-5.

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Pomerance, Herbert H. "Community Child Health: An Action Plan for Today." Archives of Pediatrics & Adolescent Medicine 150, no. 7 (July 1, 1996): 773. http://dx.doi.org/10.1001/archpedi.1996.02170320119030.

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Sanders, Gillian, and Michael O'Brien. "A regional manpower plan for community medicine." Journal of Public Health 7, no. 2 (May 1985): 116–21. http://dx.doi.org/10.1093/oxfordjournals.pubmed.a043768.

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Andrews, Fiona. "From Policy to Practice: The Development of an Integrated Health Promotion Plan for Children's Services at Plenty Valley Community Health Inc." Australian Journal of Primary Health 9, no. 1 (2003): 71. http://dx.doi.org/10.1071/py03009.

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Current changes in the funding of health promotion in community health in Victoria require community health agencies to integrate health promotion with service delivery. This provides both opportunities and challenges for community health staff. Members of the Children's Service Team at Plenty Valley Community Health Inc. addressed these changes by developing an integrated health promotion plan. The approach used involved identifying client pathways and then integrating opportunities for health promotion interventions into these pathways. Staff perceptions of the process involved in developing the plan were examined. The use of client pathways to integrate health promotion into everyday practice proved a successful approach for members of the Children's Services Team, and provides a useful model for health promotion planning in community health that helps staff to see the relevance of health promotion to their practice, and engages staff in the planning process. Members of the Children's Services Team reported that the process involved in developing their integrated health promotion plan was a very worthwhile experience that allowed them a strong sense of ownership of the plan.

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Källmén, Håkan, Anders Hed, and Tobias H. Elgán. "Collaboration between community social services and healthcare institutions." Nordic Studies on Alcohol and Drugs 34, no. 2 (April 2017): 119–30. http://dx.doi.org/10.1177/1455072517691059.

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Background: Well-functioning care of people with substance use and psychiatric disorders presumes collaboration between different parties such as psychiatric care and substance use treatment centres, as well as social services. According to Swedish law, a collaborative individual plan, i.e., a written action plan to support structured inter-organisational collaboration, should be established. However, there are indications that such action plans are not used to a satisfactory extent. Aim: To explore current inter-organisational collaboration and use of collaborative individual plans among healthcare units and social services in Stockholm County. Design: The study uses a cross-sectional design. Participants ( N = 797) in a course specifically aimed at improving the knowledge and use of collaborative individual plans were invited to take part in the study prior to attending the course. A total of 705 participants accepted. Data were collected through an electronic questionnaire sent to each participant’s workplace. Non-respondents were offered a paper version to fill out. Results: Respondents reported participating in one to two collaborative individual plans per month and about 70% reported using a particular template. Respondents perceived mainly positive consequences of establishing a collaborative individual plan, for instance that it clarifies what measures are to be performed and who is responsible. Conclusions: Although respondents were generally positive about establishing a collaborative individual plan and the consequences thereof, they reported low use of such action plans.

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Shahi, Prakash. "Female Community Health Volunteers’ (FCHVs) Involvement in Improving Maternal Health, Nepal." Journal of Karnali Academy of Health Sciences 2, no. 3 (December 10, 2019): 250–52. http://dx.doi.org/10.3126/jkahs.v2i3.26664.

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Improving maternal health was one of the eight millennium development goals (MDGs) in 2000 and later included in SDG as a major agenda in 2015 which was adopted by the international community. In Nepal, the first elected democratic government developed Health Policy in 1991 and revised in 2014 which has identified safe motherhood as a priority program and institutionalized safe motherhood as a primary health care. In order to effectively address maternal and neonatal morbidity and mortality, the Family Health Division, Department of Health Services (DoHS) developed National Safe Motherhood Long Term Plan 2002- 2017 (revised in 2006) which aimed to establish basic and comprehensive emergency obstetric care services in all districts. To complement this plan, the National Policy on SBA (2006) was developed with the aim of increasing the percentage of births assisted by a skilled birth attendant (as internationally defined) to 60 percent by 2015. Table 1 explains some historical shifts in maternal health policies and programs in Nepal.

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Chiu, Wen-Ta, Stanley Toy, Wan-Yi Lin, Yu-Tien Lin, Chia-Hsing Yeh, Kaveh Alfakian, Pei-Chen Pan, et al. "Quality of care and emergency department throughput during the COVID-19 pandemic in a community health system Pandemic in a Community Health System." Journal of Hospital Administration 13, no. 1 (May 20, 2024): 34. http://dx.doi.org/10.5430/jha.v13n1p34.

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Objective: This retrospective study explores the strategic plan formulated by AHMC Health System in California, USA, to sustain and improve quality of care and emergency department (ED) efficiency during the COVID-19 pandemic. It also analyzes the plan’s outcomes.Background: The COVID-19 pandemic has posed challenges for both individuals and healthcare industries alike, impacting decision-making and access to care. AHMC faced staff and resource shortages, patient reluctance, and difficulties adapting to rapidly evolving public health guidelines. These challenges highlighted the critical need for effective plans to maintain or improve healthcare quality and ED performance.Methods: AHMC adopted a comprehensive three-layer strategic plan in 2020. The first layer, “Pandemic Response,” focused on leadership, staff training and education, infection control, new treatments, and employee vaccination rates. The second layer, “ED Throughput,” set objectives for metrics such as door-to-doctor (door-to-doc) time, ancillary turnaround time (TAT), ED length of stay (LOS), and the left-without-being-seen (LWBS) rates. Progress was monitored through monthly improvement meetings. The third layer, “Quality Excellence,” tracked improvements in COVID-adapted objectives on quality initiatives, based on CMS Quality Star Ratings, Leapfrog Hospital Safety Grades, and Yelp review scores.Results: By 2023, the three-layer strategic plan had led to many improvements in the quality of care and ED efficiency. AHMC identified 22,287 positive COVID-19 cases, expanded its ventilator inventory by 50%, and enhanced patient outcomes by applying updated treatments. Additionally, AHMC saw a 3% reduction in ED wait times and sustained its overall patient satisfaction rates, CMS Quality Star Rating, and Leapfrog Hospital Safety Grade scores.Conclusions: AHMC’s three-layer strategic plan showed effectiveness in maintaining quality of care and ED efficiency during the COVID-19 pandemic. By focusing on “Pandemic Response,” “ED Throughput,” and “Quality Excellence,” AHMC was able to adapt to the rapidly evolving public health guidelines, expand its capacity to treat COVID-19 patients and sustain its overall patient safety, satisfaction, and quality ratings. The implementation of this plan highlights the importance of proactive and comprehensive strategies in managing healthcare crises.

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Liburd, Leandris C., and Janice V. Bowie. "Intentional Teenage Pregnancy: A Community Diagnosis and Action Plan." Health Education 20, no. 5 (October 1989): 33–38. http://dx.doi.org/10.1080/00970050.1989.10622386.

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Ruest, Michel R., Chris W. Ashton, and Jeffrey Millar. "Community Health Evaluations Completed Using Paramedic Service (Checups): Design and Implementation of A New Community-Based Health Program." Journal of Health and Human Services Administration 40, no. 2 (June 2017): 186–218. http://dx.doi.org/10.1177/107937391704000203.

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The Government of Ontario established a one-time funding program intended to create a Community Paramedicine best practice in support of its Action Plan for Health Care. The County of Renfrew Community Resilience Program responded with the creation of the CHECUPS program. The study was conducted in the County of Renfrew, Ontario, Canada where a Community Resilience Program expanded to include the CHECUPS Program. The evaluation of the CHECUPS program has addressed impacts to three domains: 1) patient overall health and satisfaction; 2) primary care integration; and 3) paramedic resource utilization. The results included a total of 222 patients that demonstrated a 24% reduction in 911 activation; 20% reduction in repeat ED visits; 55% decrease in patients that were admitted post ED visits; and all patients indicated that they were either “satisfied” or “very satisfied” with the care provide by community paramedics. The CHECUPS Community Paramedic Program is in an excellent position to support the Province of Ontario Action Plan for Health Care by responding to the increasing emergency response demands, chronic pressures within the health care system, and need to provide a more sustainable, integrated, patient-centred system.

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Boston, P. Qasimah, M. Miaisha Mitchell, Kourtney Collum, and Clarence C. Gravlee. "Community Engagement and Health Equity." Practicing Anthropology 37, no. 4 (September 1, 2015): 28–32. http://dx.doi.org/10.17730/0888-4552-37.4.28.

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The Health Equity Alliance of Tallahassee (HEAT) is a diverse team of academic and community members interested in examining existing health disparities and in improving the health of those experiencing social or economic disadvantage. In 2010, HEAT designed a Heart Health study to examine the causes of high blood pressure and heart disease among African Americans living in Tallahassee, Florida. The study aimed to understand how the social environment, neighborhood conditions, social relationships, experience of stress, and the stress of racism impacts health. This paper discusses the community engagement plan used to involve Tallahassee residents in a dialogue and conversation about the HEAT Heart Health (HHH) Study. Using the example of HHH, we argue for a community engagement approach that involves community residents in all processes of a research study, including the reporting of findings.

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Colbran, Richard. "Collaborative Care – working with community to plan primary health services." International Journal of Integrated Care 22, S3 (November 4, 2022): 50. http://dx.doi.org/10.5334/ijic.icic22020.

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Brieger, William R., Sam A. Orisasona, P. Bolade Ogunlade, U. Olu Ayodele, and Ayo Iroko. "Community Partners for Health: Urban Health Coalitions in Lagos, Nigeria." International Quarterly of Community Health Education 20, no. 1 (April 2000): 59–81. http://dx.doi.org/10.2190/8e2h-lc2u-mh16-luhk.

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Basic Support for Institutionalizing Child Survival (BASICS) was given a mandate by USAID to find innovative ways to meet the child health needs of poor Nigerian urban communities. BASICS inventoried communities in the Lagos metropolitan area to identify community-based organizations (CBOs) and private health facilities (HFs) that could form coalitions that might plan and deliver child and family health services such as immunization and prompt treatment. Six Community Partners for Health (CPHs) coalitions formed in late 1995. In late 1997, a documentation of the progress and processes of CPH formation and functioning was carried out through a review of documents, interviews with CPH leaders, discussions with CBO members, and textual analysis of CPH board meeting minutes to define the CPH approach, the organizational structures that result from that approach, the achievements of the CPHs and the potential sustainability of the approach. All CPHs have developed a work plan and all have undertaken programmatic activities including child immunization campaigns, environmental clean-up, and awareness campaigns to alert the public on the dangers of HIV/AIDS. Most CPHs have also developed three main mechanisms for financial sustainability. Finally, CPHs have also been calling on each other for technical and management assistance. This augers well for future independent action and sustainability, and BASICS staff themselves have been promoting inter-CPH communication and activities among the Lagos CPHs.

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Ramanadhan, Shoba, S. Tiffany Donaldson, C. Eduardo Siqueira, Charlotte Rackard-James, Elecia Miller, Jamiah Tappin, Natalicia Tracy, et al. "Connecting Implementation Science, Community-Engaged Research, and Health Promotion to Address Cancer Inequities in Massachusetts: The UMB/DF-HCC U54 Outreach Core." American Journal of Health Promotion 36, no. 4 (December 23, 2021): 597–601. http://dx.doi.org/10.1177/08901171211062800.

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The Outreach Core of the U54 Partnership between the Dana-Farber/Harvard Cancer Center and the University of Massachusetts Boston created a new model for addressing cancer inequities that integrates implementation science, community-engaged research, and health promotion. Key elements of the approach include engaging a Community Advisory Board, supporting students from underrepresented minority backgrounds to conduct health promotion and community-engaged research, increasing the delivery of evidence-based cancer prevention programs to underserved communities (directly and by training local organizations), supporting research-practice partnerships, and disseminating findings. Our model highlights the need for long-term investments to connect underserved communities with evidence-based cancer prevention.

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Hurley, Bruce. "1997 Awards for Innovation and Excellence in Primary Health Care - Management Initiatives: Health Promotion Plan for Darebin Community Health Centres Collaboration." Australian Journal of Primary Health 3, no. 4 (1997): 114. http://dx.doi.org/10.1071/py97047.

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The Program: East Preston and Northcote Community Health Centres committed themselves to producing a Health Promotion Plan for Darebin (HPP) for 1997 and beyond. The HPP is based on an analysis of Darebin's health data and demographics, current health promotion thinking, and analysis of best practice examples of health promotion in Community Health Centres and other settings, and on consultation with the staff and Boards of both Centres, other key agencies and the local community.

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Moore, Justin, Justin Moore, Kristina Stange, Susan Hanson, and Cari Levy. "Integrated Medical Model Project Plan at Rowan Community." Journal of the American Medical Directors Association 11, no. 3 (March 2010): B14. http://dx.doi.org/10.1016/j.jamda.2009.12.039.

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Kemp, Donna, Michael Doyle, Mary Turner, and Steve Hemingway. "Care Plan Templates in Adult Community Mental Health Teams in England and Wales: An Evaluation." Nursing Reports 14, no. 1 (February 1, 2024): 340–52. http://dx.doi.org/10.3390/nursrep14010026.

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Adults accessing community mental health services are required to have a care plan, developed in collaboration with the person accessing the service. The variation in care plan templates in use in England and Wales, and their impact on care planning, is unknown. This study evaluates the community mental health care plan templates in use across England and Wales. Data were obtained from a Freedom of Information request to 50 NHS Mental Health Trusts. An evaluation tool was designed and used to extract data. Data were rated red, amber, or green against clinical and design standards. Forty-seven care plan templates were obtained. The clinical aspect of the care plan template had 60% adherence to the national standards, and the design aspects had 87% adherence. A ‘high/low’ typology is proposed against the design/clinical standards. The study identifies priority areas for improvement in the care plan templates as space to record the actions that service users and carers will take to contribute to their care plan, space to record the name and contact details for their care coordinator or lead professional, plus others involved in the person’s care. This study was not registered.

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Mayberry, Robert M., Pamela Daniels, Tabia Henry Akintobi, Elleen M. Yancey, Jamillah Berry, and Nicole Clark. "Community-based Organizations’ Capacity to Plan, Implement, and Evaluate Success." Journal of Community Health 33, no. 5 (May 24, 2008): 285–92. http://dx.doi.org/10.1007/s10900-008-9102-z.

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Guzys, Diana, Guinever Threlkeld, Virginia Dickson-Swift, and Amanda Kenny. "Rural and regional community health service boards: perceptions of community health – a Delphi study." Australian Journal of Primary Health 23, no. 6 (2017): 543. http://dx.doi.org/10.1071/py16123.

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Much has been written about the composition of health service boards and the importance of recruiting people with skills appropriate for effective and accountable governance of health services. Governance training aims to educate directors on their governance responsibilities; however, the way in which these responsibilities are discharged is informed by board members’ understanding of health within their communities. The aim of this study was to identify how those engaged in determining the strategic direction of local regional or rural community health services in Victoria, Australia, perceived the health and health improvement needs of their community. The Delphi technique was employed to facilitate communication between participants from difference geographic locations. The findings of the study highlight the different ways that participants view the health of their community. Participants prioritised indicators of community health that do not align with standard measures used by government to plan for, fund or report on health. Devolved governance of healthcare services aims to improve local healthcare responsiveness. Yet, if not accompanied with the redistribution of resources and power, policy claimed to promote localised decision-making is simply tokenistic.

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Golubeva, Elena, and Anastasia Emelyanova. "Local community practices to improve healthy aging in the North." Magyar Gerontológia 13 (December 29, 2021): 25–26. http://dx.doi.org/10.47225/mg/13/kulonszam/10575.

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The governments of Finland, Denmark, Norway and Russia have developed national programs to address population ageing. There are also successful practices in healthy ageing at the local level in different countries, but they remain unknown among the global professional community and governmental authorities. Healthy ageing has become an important policy issue at all levels of the society. The key international document is the World Health Organization’s (WHO) plan for a Decade of Healthy Ageing 2020–2030 which is the second action plan of the WHO ‘s Global strategy on ageing and health. The Plan consists of 10 years of concerted, catalytic, sustained collaboration to improve the lives of older people, their families, and their communities. Older people themselves are in the core of this plan, and it brings together variety of actors, including governments, civil society, international agencies, professionals, academia, the media, and the private sector. The Plan also notes that healthy ageing is not only a healthcare issue but also needs to engage many other sectors. The aim of research was to search and introduce local community practices according the priority areas of WHO Decade of Healthy Aging action plan for gerontological policy in arctic countries. Examples of good practices for the Priority 1 of the Plan: Change how we think, feel and act towards age and ageing Fostering of Healthy Ageing requires fundamental shifts from existing stereotypes, prejudices, and discrimination towards older people. Older people should not be seen only as an economic burden for the welfare society, but as contributors to the state and communities, and as resourceful carriers of traditional values and wisdom. Governments eliminate age discrimination by variety of actions, such as legislative changes, and policies and programs which engage older people in decision-making. Initiatives for Priority 2 of the Plan: Ensure that communities foster the abilities of older people The environments which are built on decisions made not only by policy makers but involve citizens of all ages are better places to grow, play, live, work and retire. Even those people who have lost their capacity, shall be able to continue to enjoy everyday activities, to continue to develop personally and professionally, to participate and contribute to their communities while retaining their autonomy, dignity, health, and well-being. Practices for Priority 3 of the Plan: Deliver person-centered, integrated care and primary health services to older people Good-quality essential health services include prevention of diseases; promotion of healthy lifestyle; curative, rehabilitative, palliative and end-of-life care; safe, effective, good-quality essential medicines and vaccines; dental care; assistive technologies, while ensuring that the use of services does not cause the user financial hardship. Local northern practices are mirrored against the recently released WHO Decade of Healthy Ageing 2020-2030 Action Plan with paying attention to indigenous elders. Based on these practices the national, regional, and municipal level authorities of the Nordic countries and Russia were suggested to consider the policy recommendations based of the research.

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&NA;, &NA;. "Using Community Resources Effectively to Plan Care." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 16, no. 5 (May 1998): 309. http://dx.doi.org/10.1097/00004045-199805000-00005.

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Abdulhakeem Ikolaba, F. S., E. I. Schafheutle, and D. T. Steinke. "490 Patients’ and Pharmacists’ Experiences of a Community Pharmacy-Based Diabetes Care Plan." International Journal of Pharmacy Practice 31, Supplement_1 (April 1, 2023): i31—i32. http://dx.doi.org/10.1093/ijpp/riad021.036.

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Abstract Introduction The traditional view of healthcare professionals as the main decision-makers has changed, recognising the importance of people managing their own conditions (1). An evidence-informed Community Pharmacy-Based Diabetes Care Plan (2) provided person-centred care for adults living with type 2 diabetes in Lagos, Nigeria. Due to the Covid-19 pandemic, community pharmacists (n =20) had monthly remote consultations with patients (n =89) over six months, supporting patients in setting and reviewing their own goals. Aim Part of a larger evaluation, this paper aims to describe patients’ and pharmacists’ experiences, acceptability and contextual barriers and facilitators to the care plan. Methods An invitation for all participants to participate in study interviews during months 4-6 of the care plan was sent via the pharmacists. The researcher contacted participants that sent their consent or consent to contact form in remotely. Semi-structured telephone interviews were conducted with consent. Participants’ reasons for enrolling, participation experiences, barriers and facilitators were explored. Interviews were conducted in English, audio-recorded and transcribed verbatim. Transcripts were thematically analysed, aided by NVivo12. At study completion, all patients were provided with a post-study questionnaire (PSQ). Results Seventy patients completed the PSQ. Of these, 88% were satisfied with the service on a 10-point satisfaction scale (1= very dissatisfied and 10= very satisfied). All respondents stated that the care plan helped them manage their conditions better. Based on their experience with the care plan, all respondents indicated they were likely or much more likely to recommend the care plan to friends and family if they need similar care. Interviews lasting 14-42 minutes were conducted with 10 pharmacists and 15 patients. Seven themes emerged from the data: reasons for agreeing to participate; perception of pharmacy (premises and profession); remote consultations - a new way of working; service delivery and care coordination; acceptability of the care plan; types of goals, goal attainment and patients’ satisfaction; and facilitators, barriers, and recommendations to the care plan. The care plan was perceived as valuable, and it improved patients’ confidence regarding diabetes management. Key benefits of the care plan were patients’ empowerment, including better self-care and addition to therapeutics. Monthly online (majority) meetings between the pharmacists and patients maintained patients’ engagement with the care plan and allowed improvements in goal achievements and better follow-up across the pharmacies. The remote consultations were perceived as innovative and useful, though a few patients were seen face to face in particular circumstances. Identified barriers included time and technology. Patients were satisfied and passionate about the new service, and pharmacists were excited about the opportunities to provide person-centred care in their pharmacies. Conclusion This study is the first mixed-methods evaluation of a person-centred goal-setting intervention for people living with diabetes in Lagos, Nigeria. It showed that the care plan was acceptable and useful to patients and pharmacists. It supports the importance of personalised care in diabetes management. A key limitation was selection bias-only those who expressed interest were interviewed. No follow-up on non-participants was done because the research team had no access to patients’ contact details. References 1. Coulter A, Roberts S, Dixon A. Delivering better services for people with long-term conditions. Building the house of care London: The King’;s Fund. 2013:1-28. 2. Ikolaba FSA, Steinke D, Schafheutle E. Development of a community pharmacy care programme for people with type 2 diabetes in Lagos, Nigeria, using the Medical Research Council framework. International Journal of Clinical Pharmacy. 2021:772-3.

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Lucas, Brad, and Amber Detty. "Improved Birth Outcomes Through Health Plan and Community Hub Partnerships [18L]." Obstetrics & Gynecology 133, no. 1 (May 2019): 133S. http://dx.doi.org/10.1097/01.aog/01.aog.0000559252.69867.6d.

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Esparza, Laura A., Katherine S. Velasquez, and Annette M. Zaharoff. "Local Adaptation of the National Physical Activity Plan: Creation of the Active Living Plan for a Healthier San Antonio." Journal of Physical Activity and Health 11, no. 3 (March 2014): 470–77. http://dx.doi.org/10.1123/jpah.2013-0060.

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Background:Physical inactivity and related health consequences are serious public health threats. Effective strategies to facilitate and support active-living opportunities must be implemented at national, state, and local levels. San Antonio, Texas, health department officials launched the Active Living Council of San Antonio (ALCSA) to engage the community in developing a 3- to 5-year plan to promote active living.Methods:A steering committee set preliminary ALCSA aims and established a multisector membership structure modeled after the US National Physical Activity Plan (NPAP). ALCSA adopted governance standards, increased knowledge of physical activity and health, and engaged in an 18-month collaborative master plan writing process.Results:ALCSA selected overarching strategies and evidence-based strategies for each societal sector and adapted strategies to the local context, including tactics, measures of success, and timelines. Community and expert engagement led to a localized plan reflecting national recommendations, the Active Living Plan for a Healthier San Antonio.Conclusion:Multisector collaborations among governmental agencies and community organizations, which were successfully developed in this case to produce the first-ever local adaptation of the NPAP, require clearly defined expectations. Lessons learned in ALCSA’s organizational and plan development can serve as a model for future community-driven efforts to increase active living.

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Schofield, Ruth, Rebecca Ganann, Sandy Brooks, Jennifer McGugan, Kim Dalla Bona, Claire Betker, Katie Dilworth, et al. "Community Health Nursing Vision for 2020." Western Journal of Nursing Research 33, no. 8 (July 26, 2010): 1047–68. http://dx.doi.org/10.1177/0193945910375819.

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As health care is shifting from hospital to community, community health nurses (CHNs) are directly affected. This descriptive qualitative study sought to understand priority issues currently facing CHNs, explore development of a national vision for community health nursing, and develop recommendations to shape the future of the profession moving toward the year 2020. Focus groups and key informant interviews were conducted across Canada. Five key themes were identified: community health nursing in crisis now, a flawed health care system, responding to the public, vision for the future, and CHNs as solution makers. Key recommendations include developing a common definition and vision of community health nursing, collaborating on an aggressive plan to shift to a primary health care system, developing a comprehensive social marketing strategy, refocusing basic baccalaureate education, enhancing the capacity of community health researchers and knowledge in community health nursing, and establishing a community health nursing center of excellence.

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Yang, Yuzhi (Stanford), Moira Law, and Ziba Vaghri. "New Brunswick’s mental health action plan: A quantitative exploration of program efficacy in children and youth using the Canadian Community Health Survey." PLOS ONE 19, no. 6 (June 7, 2024): e0301008. http://dx.doi.org/10.1371/journal.pone.0301008.

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In 2011, the New Brunswick government released the New Brunswick Mental Health Action Plan 2011–2018 (Action Plan). Following the release of the Action Plan in 2011, two progress reports were released in 2013 and 2015, highlighting the implementation status of the Action Plan. While vague in their language, these reports indicated considerable progress in implementing the Action Plan, as various initiatives were undertaken to raise awareness and provide additional resources to facilitate early prevention and intervention in children and youth. However, whether these initiatives have yielded measurable improvements in population-level mental health outcomes in children and youth remains unclear. The current study explored the impact of the Action Plan by visualizing the trend in psychosocial outcomes and service utilization of vulnerable populations in New Brunswick before and after the implementation of the Action Plan using multiple datasets from the Canadian Community Health Survey. Survey-weighted ordinary least square regression analyses were performed to investigate measurable improvements in available mental health outcomes. The result revealed a declining trend in the mental wellness of vulnerable youth despite them consistently reporting higher frequencies of mental health service use. This study highlights the need for a concerted effort in providing effective mental health services to New Brunswick youth and, more broadly, Canadian youth, as well as ensuring rigorous routine outcome monitoring and evaluation plans are consistently implemented for future mental health strategies at the time of their initiation.

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Paris, John J. "Improving Fairness in Coverage Decisions: Insights from the Harvard Community Health Plan's LORAN Commission Report." American Journal of Bioethics 4, no. 3 (August 2004): 103–4. http://dx.doi.org/10.1080/15265160490497713.

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Gordon, Aliza S., Allison H. Oakes, Rebeca Allender, Lucida Vang, Beau Hennemann, and Winnie C. Chi. "Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid." Journal of Primary Care & Community Health 14 (January 2023): 215013192311536. http://dx.doi.org/10.1177/21501319231153602.

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Introduction/Objectives: In 2018, a Medicaid managed care plan launched a new community health worker (CHW) initiative in several counties within a state, designed to improve the health and quality of life of members who could benefit from additional services. The CHW program involved telephonic and face-to-face visits from CHWs who provided support, empowerment, and education to members, while identifying and addressing health and social issues. The primary objective of this study was to evaluate the impact of a generalized (not disease-specific), health plan-led CHW program on overall healthcare use and spending. Methods: This retrospective cohort study used data from adult members who received the CHW intervention (N = 538 participants) compared to those who were identified for participation but were unable to be reached (N = 435 nonparticipants). Outcomes measures included healthcare utilization, including scheduled and emergency inpatient admissions, emergency department (ED) visits, and outpatient visits; and healthcare spending. The follow-up period for all outcome measures was 6 months. Using generalized linear models, 6-month change scores were regressed on baseline characteristics to adjust for between-group differences (eg, age, sex, comorbidities) and an indicator for group. Results: Program participants experienced a greater increase in outpatient evaluation and management visits (0.09 per member per month [PMPM]) than the comparison group during the first 6 months of the program. This greater increase was observed across in-person (0.07 PMPM), telehealth (0.03 PMPM), and primary care (0.06 PMPM) visits. There was no observed difference in inpatient admissions, ED utilization or allowed medical spending and pharmacy spending. Conclusions: A health plan-led CHW program successfully increased multiple forms of outpatient utilization in a historically disadvantaged population of patients. Health plans may be particularly well positioned to finance, sustain, and scale programs that address social drivers of health.

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Thomson, Sumana, Trung Doan, Dennis Liu, Klaus Oliver Schubert, Julian Toh, Mark A. Boyd, and Cherrie Galletly. "Supporting the vulnerable: developing a strategic community mental health response to the COVID-19 pandemic." Australasian Psychiatry 28, no. 5 (July 30, 2020): 492–99. http://dx.doi.org/10.1177/1039856220944701.

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Objectives: The COVID-19 pandemic poses significant risks to the vulnerable patient population supported by community mental health (CMH) teams in South Australia. This paper describes a plan developed to understand and mitigate these risks. Methods: Public health and psychiatric literature was reviewed and clinicians in CMH teams and infectious disease were consulted. Key risks posed by COVID-19 to CMH patients were identified and mitigation plans were prepared. Results: A public health response plan for CMH teams was developed to support vulnerable individuals and respond to the COVID-19 pandemic. This plan will be reviewed regularly to respond to changes in public health recommendations, research findings and feedback from patients and clinicians. Conclusions: The strategic response plan developed to address risks to vulnerable patients from COVID-19 can assist other CMH services in managing the COVID-19 pandemic.

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Simendinger, Earl, Rob Muilenburg, and Scott Jones. "Community Involvement in a Major Institutional Master Plan." Journal of Healthcare Management 46, no. 2 (March 2001): 78–81. http://dx.doi.org/10.1097/00115514-200103000-00003.

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Huang, Wei-Hsin, Betty Chia-Chen Chang, Shu-Chen Lee, Li-Jen Liang, Nai-Fang Hu, Yu-Hua Chen, and Lee-Ching Hwang. "Love Your Neighbor: The Community Health Plan in a Health Promoting Hospital in Taiwan." Clinical Health Promotion - Research and Best Practice for patients, staff and community 9, S2 (May 2019): 25–26. http://dx.doi.org/10.29102/clinhp.1902s07.

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Infante Grandón, Gonzalo Nicolás, Marcelo Carrasco Henríquez,, Andy Torres Hidalgo, Carolina Alejandra Ramírez Campos, Ingrid Katherine Magna Young, Rebeca Correa Del Rio, Omar Andrés Orellana Reyes, and Hugo Aravena Gaete. "Social praxis in health: Development of technical and community triannual plan for health promotion." Medwave 16, Suppl6 (November 30, 2016): 6702. http://dx.doi.org/10.5867/medwave.2016.6702.

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R. Aklamanu, Isaac. "Social Work Perspective on Community Organizing Around Student Health Insurance at a Midwestern University in The United States: A Case Study." International Journal of Arts, Humanities & Social Science 05, no. 05 (May 5, 2024): 79–83. http://dx.doi.org/10.56734/ijahss.v5n5a7.

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Following the passage of the Affordable Care Act (ACA) in 2010, universities were prompted and advised to consider a policy-level change. In particular, universities had to consider whether or not to draft and adopt an ACA-compliant health insurance plan for students. Given that universities were not required to offer a student health insurance plan, students at a Midwestern university in 2011 developed a social action community organization to apply pressure on university administrators to ensure the development and adoption of an ACA-compliant student health insurance plan. The processes and strategies employed by this successful student community organization are discussed in the present case study. Recommendations for future student-led community organization projects on college campuses are provided.

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Rosenberg, Sebastian, and Carol Harvey. "Mental Health in Australia and the Challenge of Community Mental Health Reform." Consortium Psychiatricum 2, no. 1 (March 20, 2021): 40–46. http://dx.doi.org/10.17816/cp44.

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Australia was one of the first countries to develop and implement a national mental health plan, 30 years ago. This national approach belied the countrys federal structure, in which the federal government takes responsibility for primary care while state and territory governments manage acute and hospital mental health care. This arrangement has led to significant variations across jurisdictions. It has also left secondary care, often provided in the community, outside of this governance arrangement. This article explores this dilemma and its implications for community mental health, and suggests key steps towards more effective reform of this vital element of mental health care.

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Efird-Green, Lea, Eve Marion, Kiah Gaskin, Daphne Lancaster, and Leonor Corsino. "Population Health Improvement Awards: Supporting Community and Academic Capacity to Partner in Research and Improve Population Health." Journal of Community Engagement and Scholarship 15, no. 2 (May 1, 2023): 10. http://dx.doi.org/10.54656/jces.v15i2.462.

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The Duke Clinical and Translational Science Institute Community Engaged Research Initiative began its Population Health Improvement Awards grant program in 2017. This program builds community-engaged research capacity by promoting the formation of community-academic research teams, educating researchers about equitable partnerships, and empowering community members and organizations to access academic research resources. With a focus on community-identified priorities, the program purposefully engages local communities in an enterprise that has traditionally labeled community members as “participants” rather than “partners.” Key elements of the program include innovation, relationship building, and power sharing; education and research system navigation; iterative adaptation using the Plan-Do-Study-Act framework; and continual program improvements based on applicant feedback to ensure that the program becomes a national leader in funding local community-engaged research partnerships.

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Cowell, Sarah, and Charlotte Botes. "Experience with setting up community intravenous therapy clinics." British Journal of Community Nursing 25, no. 6 (June 2, 2020): 300–302. http://dx.doi.org/10.12968/bjcn.2020.25.6.300.

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The NHS Long Term Plan aims for patients to receive more options, better support and integrated care at the right time and in the optimal care setting. Community nursing teams at the Wirral Community Health and Care NHS Foundation Trust have experienced several challenges in delivering intravenous antibiotics (IV) to patients within their own homes, especially for non-housebound patients, due to the complexity of and demand on the service. Traditionally, intravenous antimicrobials are administered in the acute hospital or in-patient settings. However, there is now a growing trend to deliver intravenous antibiotic therapy within the community. Community nurses have a wealth of knowledge and skills that can support the delivery of the NHS Long Term Plan by developing new models of care in integrated care systems while supporting the implementation and delivery of the governments five-year action plan on antimicrobial resistance. This article describes how the community nursing service at Wirral Community Health and Care NHS Foundation Trust set up community IV clinics.

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Shopinski, Samuel, Theresa Tejada, Herman Jenkins, Samantha Raad, Martha Quinn, and Laurie Lachance. "Paddling Together: Water Trails as Innovative Public Health Strategies." Health Promotion Practice 24, no. 1_suppl (March 31, 2023): 41S—45S. http://dx.doi.org/10.1177/15248399221142900.

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Background Blueways can help improve health and quality-of-life by providing places for exercise, recreation, and community gatherings. The Rouge River Watershed is an industrialized region in Southeast Michigan with high rates of chronic disease and historic disinvestment in social and environmental conditions. The purpose of this article is to describe the process taken to develop an equitable, community-driven vision and approach for developing a water trail along the Lower Rouge River and to identify the key elements that emerged. Methods Utilized to Create a Community-Driven Approach Project leaders incorporated community-driven planning, community outreach, and community ownership strategies. The Rouge River Water Trail Leadership Committee engages the public, those affected by decisions, with a transparent, fact-based process. The public is given equal status and shares decision-making authority. Initial Results This approach led to the development of a Water Trail Strategic Plan, community-informed recommendations for capital improvements, development of key relationships, and coalitions that provide a vehicle for ongoing community engagement and ownership. Five main elements, considered through an equity lens, go into building a water trail: (1) creating access points, (2) water quality monitoring, (3) woody debris management, (4) signage, and (5) developing a safety plan. Implications for Practice, Policy, and Research Water trail development should consist of (1) environmental change through the creation of access points and safe, navigable waterways and (2) opportunities to utilize the infrastructure through programming and initiatives to make the trail accessible to all communities.

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Kurkjian, Katie M., Michelle Winz, Jun Yang, Kate Corvese, Ana Colón, Seth J. Levine, Jessica Mullen, et al. "Assessing Emergency Preparedness and Response Capacity Using Community Assessment for Public Health Emergency Response Methodology: Portsmouth, Virginia, 2013." Disaster Medicine and Public Health Preparedness 10, no. 2 (January 22, 2016): 193–98. http://dx.doi.org/10.1017/dmp.2015.173.

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AbstractObjectiveFor the past decade, emergency preparedness campaigns have encouraged households to meet preparedness metrics, such as having a household evacuation plan and emergency supplies of food, water, and medication. To estimate current household preparedness levels and to enhance disaster response planning, the Virginia Department of Health with remote technical assistance from the Centers for Disease Control and Prevention conducted a community health assessment in 2013 in Portsmouth, Virginia.MethodsUsing the Community Assessment for Public Health Emergency Response (CASPER) methodology with 2-stage cluster sampling, we randomly selected 210 households for in-person interviews. Households were questioned about emergency planning and supplies, information sources during emergencies, and chronic health conditions.ResultsInterview teams completed 180 interviews (86%). Interviews revealed that 70% of households had an emergency evacuation plan, 67% had a 3-day supply of water for each member, and 77% had a first aid kit. Most households (65%) reported that the television was the primary source of information during an emergency. Heart disease (54%) and obesity (40%) were the most frequently reported chronic conditions.ConclusionsThe Virginia Department of Health identified important gaps in local household preparedness. Data from the assessment have been used to inform community health partners, enhance disaster response planning, set community health priorities, and influence Portsmouth’s Community Health Improvement Plan. (Disaster Med Public Health Preparedness. 2016;10:193–198)

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Kou, Huaiyun, Sichu Zhang, Wenjia Li, and Yuelai Liu. "Participatory Action Research on the Impact of Community Gardening in the Context of the COVID-19 Pandemic: Investigating the Seeding Plan in Shanghai, China." International Journal of Environmental Research and Public Health 18, no. 12 (June 9, 2021): 6243. http://dx.doi.org/10.3390/ijerph18126243.

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This study aims to examine the impacts of community gardening on the daily life of residents and the management organisation of pandemic prevention in the context of the COVID-19 pandemic, a major public health scourge in 2020. The research team applied a participatory action research approach to work with residents to design and implement the Seeding Plan, a contactless community gardening program. The authors carried out a study to compare the everyday conditions reflecting residents’ mental health of the three subject groups during the pandemic: the participants of the Seeding Plan (Group A), the non-participants living in the same communities that had implemented the Seeding Plan (Group B), and the non-participants in other communities (Group C). According to the results, group A showed the best mental health among the three; Group B, positively influenced by seeding activities, was better than Group C. The interview results also confirmed that the community connections established through gardening activities have a significant impact on maintaining a positive social mentality under extraordinary circumstances. From this, the study concluded that gardening activities can improve people’s mental health, effectively resist negative impacts, and it is a convenient tool with spreading influence on the entire community, so as to support the collective response to public health emergencies in a bottom-up direction by the community.

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