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