Although community development and social change are not explicit goals of community-oriented primary care (COPC), they are implicit in COPC's emphasis on community organization and local participation with health professionals in the assessment of health problems. These goals are also implicit in the shared understanding of health problems' social, physical, and economic causes and in the desi...

The Affordable Care Act’s expansion of insurance coverage is expected to increase demand for primary care services. We estimate that the national increase in demand for such services will require 7,200 additional primary care providers, or 2.5 percent of the current supply. On average, that increased demand is unlikely to prove disruptive. But when we examined how this increased demand will be ...

AIM This paper is a report of a scoping review examining children and young people's health services with respect to choice in order to inform future development of choice initiatives. BACKGROUND The importance of including children and young people in the choice agenda reflects the increasing acknowledgement that, individually and collectively, they are important consumers of health care in ...

OBJECTIVE Drawing on the experience of conducting the Brain Injury Incidence and Outcomes New Zealand in the Community study, this article aims to identify the issues arising from the implementation of proposed guidelines for population-based studies of incidence and outcomes in traumatic brain injury (TBI). STUDY DESIGN AND SETTING All new cases of TBI (all ages and severities) were ascertai...

Program sustainability is an ongoing concern for most people in health promotion. However, the current notion of sustainability in organizations, namely routinization, needs refinement. This article examines organizational routines. In so doing, it refines the notion of sustainability and the assessment of routines. Drawing on the organizational literature, a routinized program is defined by th...

INTRODUCTION The Leadership Opportunities with Communities, the Underserved, and Special populations (LOCUS) program at the University of Wisconsin School of Medicine and Public Health is a longitudinal, extracurricular experience for medical students who wish to develop leadership skills and expand their involvement in community health activities during medical school. The program consists of ...

Method Fourteen federally qualified community health centers (FQHCs) in Seattle and King County, Washington participated (2008-2015) in an effort to implement collaborative care for depression in high risk mothers. An expert panel based framework was used to identify key elements of the collaborative care model. This theory based framework guided operationalization of fidelity measures of this ...

Teledermatology PerceptionDifferences Between Urban Primary Care Physicians andDermatologists The implementation of the Patient Protection andAffordable Care Act has renewed interest in the appropriate use and deliveryof specialty services.1 Teledermatologyhasbeen touted as a potential solution to improve access, particularly in the context of the impending dermatology workforce shortage.2 Whil...

Changing business practices, customers needs, and market dynamics have driven many organizations to implement interorganizational systems (IOSs). IOSs have been successfully implemented in the banking, cotton, airline, and consumer-goods industries, and recently attention has turned to the health care industry. This article describes an exploratory study of health care IOS implementations based...

There is renewed interest in patient engagement in clinical and research settings, creating a need for documenting and publishing lessons learned from efforts to meaningfully engage patients. This article describes early lessons learned from the development of OCHIN's Patient Engagement Panel (PEP). OCHIN supports a national network of more than 300 community health centers (CHCs) and other pri...