Collaborating with the Community in Primary Care: Teaching and Modeling Community-Responsive Practice Society for Teachers of Family Medicine Group on.

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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  Understand the importance of collaboration with the community when initiating COPC projects  Be able to identify some characteristics of community- academic 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:

Actual Causes of Death, 2000  Tobacco435,000 (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):

Racial & Ethnic Disparities In Health  Risk Behaviors  Medical Care  SES  Social Support  Group/Community Determinants –Social Capital –Income Inequality –Community Environment  Stress

Community Environment Group Individual

Understanding Inequalities in Health Kaplan GA. Ann NY Acad Sci 1999, 896:

Prisoners of the Proximate McMichael 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): Glasgow RE, Lichtenstein E, Marcus AC, et al. AJPH 2003; 93(8):

Collaboration & Community Medicine  Interest or Inclination AND  Competent Community Organization  Capable, Trusted Community Leaders

Collaboration & Community Medicine  Common Interests  Overlapping Missions  Trust  Time  Keeping On

Who’s here  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  Penelope House –Marty Adams, PhD; USA Dept of Family Medicine –D’ana Snow, PhD; 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  Bridging Health Together: –Kim Gudzune, MS3 –Jim Theis, MD; Tulane Dept Family & Community Medicine.

Who’s here  PATH –Dave Ward, President and CEO of Daughters of Charity Health Services of New Orleans –Father Jim DesHotels, FNP, Daughters of Charity –Robert Post, MD; LSU Dept of Family Medicine

Community Environment Group Individual