Collaborating with the Community in Primary Care: Teaching and Modeling Community-Responsive Practice Society for Teachers of Family Medicine Group on Community Medicine Spring 2005
Goals and Objectives u u Understand the importance of collaboration with the community when initiating COPC projects Be able to identify some characteristics of communityacademic partnerships that work Identify methods for institutions to create a collaborative environment and find a "win-win" scenario which accomplishes training goals and community agendas Have a working knowledge of 4 successful sustained collaborations pairing agencies and three Family Medicine Departments in which COPC is modeled and taught
THEORETICAL FRAMEWORK Determinants of Population Health Tarlov AR. Ann NY Acad Sci 1999; 896: 281 -293
Actual Causes of Death, 2000 u u u u u Tobacco 435, 000 (18. 1%) Poor Diet & Physical Inactivity 400, 000 (16. 6%) Alcohol 85, 000 (3. 5%) Microbial Agents 75, 000 (3. 1%) Toxic Agents 55, 000 (2. 3%) Motor Vehicles 43, 000 (1. 8%) Firearms 29, 000 (1. 2%) Sexual Behavior 20, 000 (0. 8%) Illicit Drug Use 17, 000 (0. 7%) Total 1, 159, 000 (48. 2%) Mokdad AH, Marks JS, Stroup DF, Gerberding JL. JAMA 2004; 291(10): 12381245
Racial & Ethnic Disparities In Health Risk Behaviors u Medical Care u SES u Social Support u Group/Community Determinants u – Social Capital – Income Inequality – Community Environment u Stress
Environment Community Group Individual
Understanding Inequalities in Health Kaplan GA. Ann NY Acad Sci 1999, 896: 117 -199
Prisoners of the Proximate Mc. Michael AJ. Am J Epidemiol 1999; 149: 887 -97
RE-AIM Model Public Health Impact = Reach X Efficacy * Adoption X Implementation X Maintenance Glasgow RE, Vogt TM, Boles SM, et al. AJPH 1999; 89(9): 1322 -1327 Glasgow RE, Lichtenstein E, Marcus AC, et al. AJPH 2003; 93(8): 1261 -1267
Collaboration & Community Medicine u Interest or Inclination AND u Competent Community Organization u Capable, Trusted Community Leaders
Collaboration & Community Medicine u Common Interests u Overlapping Missions u Trust u Time u Keeping On
Who’s here u Fit, Fun, & Thin-some – Rosalyn Arnaud, Community Health Nurse and Director of the Daughters of Charity Neighborhood Health Partnership – Carol Bebelle, Director of the Ashe Cultural Arts Center – R. A. Meriwether, MD, MPH; Tulane Dept of Family & Community Medicine
Who’s here u Penelope House – Marty Adams, Ph. D; USA Dept of Family Medicine – D’ana Snow, Ph. D; USA Dept of Family Medicine – Reda Haynes-Penelope House, Mobile, Alabama – Allen Perkins, MD, MPH; University of South Alabama Dept of Family Medicine.
Who’s here u Bridging Health Together: – Kim Gudzune, MS 3 – Jim Theis, MD; Tulane Dept Family & Community Medicine.
Who’s here u PATH – Dave Ward, President and CEO of Daughters of Charity Health Services of New Orleans – Father Jim Des. Hotels, FNP, Daughters of Charity – Robert Post, MD; LSU Dept of Family Medicine
Environment Community Group Individual
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