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Hausmann LRM, Goodrich DE, Rodriguez KL, Beyer N, Michaels Z, Cantor G, Armstrong N, Eliacin J, Gurewich DA, Cohen AJ, Mor MK. Participation of Veterans Affairs Medical Centers in veteran-centric community-based service navigation networks: A mixed methods study. Health Serv Res 2024; 59:e14286. [PMID: 38258302 PMCID: PMC11063092 DOI: 10.1111/1475-6773.14286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2024] Open
Abstract
OBJECTIVE To understand the determinants and benefits of cross-sector partnerships between Veterans Affairs Medical Centers (VAMCs) and geographically affiliated AmericaServes Network coordination centers that address Veteran health-related social needs. DATA SOURCES AND SETTING Semi-structured interviews were conducted with AmericaServes and VAMC staff across seven regional networks. We matched administrative data to calculate the percentage of AmericaServes referrals that were successfully resolved (i.e., requested support was provided) in each network overall and stratified by whether clients were also VAMC patients. STUDY DESIGN Convergent parallel mixed-methods study guided by Himmelman's Developmental Continuum of Change Strategies (DCCS) for interorganizational collaboration. DATA COLLECTION Fourteen AmericaServes staff and 17 VAMC staff across seven networks were recruited using snowball sampling and interviewed between October 2021 and April 2022. Rapid qualitative analysis methods were used to characterize the extent and determinants of VAMC participation in networks. PRINCIPAL FINDINGS On the DCCS continuum of participation, three networks were classified as networking, two as coordinating, one as cooperating, and one as collaborating. Barriers to moving from networking to collaborating included bureaucratic resistance to change, VAMC leadership buy-in, and not having VAMCs staff use the shared technology platform. Facilitators included ongoing communication, a shared mission of serving Veterans, and having designated points-of-contact between organizations. The percentage of referrals that were successfully resolved was lowest in networks engaged in networking (65.3%) and highest in cooperating (85.6%) and collaborating (83.1%) networks. For coordinating, cooperating, and collaborating networks, successfully resolved referrals were more likely among Veterans who were also VAMC patients than among Veterans served only by AmericaServes. CONCLUSIONS VAMCs participate in AmericaServes Networks at varying levels. When partnerships are more advanced, successful resolution of referrals is more likely, especially among Veterans who are dually served by both organizations. Although challenges to establishing partnerships exist, this study highlights effective strategies to overcome them.
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Affiliation(s)
- Leslie R. M. Hausmann
- Center for Health Equity Research and PromotionVeterans Affairs (VA) Pittsburgh Healthcare SystemPittsburghPennsylvaniaUSA
- Division of General Internal Medicine, Department of MedicineUniversity of PittsburghPittsburghPennsylvaniaUSA
| | - David E. Goodrich
- Center for Health Equity Research and PromotionVeterans Affairs (VA) Pittsburgh Healthcare SystemPittsburghPennsylvaniaUSA
| | - Keri L. Rodriguez
- Center for Health Equity Research and PromotionVeterans Affairs (VA) Pittsburgh Healthcare SystemPittsburghPennsylvaniaUSA
| | - Nicole Beyer
- Center for Health Equity Research and PromotionVeterans Affairs (VA) Pittsburgh Healthcare SystemPittsburghPennsylvaniaUSA
| | - Zachary Michaels
- Center for Health Equity Research and PromotionVeterans Affairs (VA) Pittsburgh Healthcare SystemPittsburghPennsylvaniaUSA
| | - Gilly Cantor
- D'Aniello Institute for Veterans and Military FamiliesSyracuse UniversitySyracuseNew YorkUSA
| | - Nicholas Armstrong
- D'Aniello Institute for Veterans and Military FamiliesSyracuse UniversitySyracuseNew YorkUSA
| | - Johanne Eliacin
- National Center for PTSDVA Boston Healthcare SystemBostonMassachusettsUSA
- Center for Health Information and CommunicationRichard L. Roudebush VA Medical CenterIndianapolisIndianaUSA
- Department of Internal Medicine and GeriatricsIndiana University School of MedicineIndianapolisIndianaUSA
| | - Deborah A. Gurewich
- Center for Healthcare Implementation and Research (CHOIR)VA Boston Health Care SystemBedfordMassachusettsUSA
- Section of Internal MedicineBoston University Chobanian and Avedisian School of MedicineBostonMassachusettsUSA
| | - Alicia J. Cohen
- Center of Innovation in Long Term Services and Supports (LTSS‐COIN)VA Providence Healthcare SystemProvidenceRhode IslandUSA
- Department of Family MedicineWarren Alpert Medical School of Brown UniversityProvidenceRhode IslandUSA
- Department of Health Services, Policy, and PracticeBrown University School of Public HealthProvidenceRhode IslandUSA
| | - Maria K. Mor
- Center for Health Equity Research and PromotionVeterans Affairs (VA) Pittsburgh Healthcare SystemPittsburghPennsylvaniaUSA
- Graduate School of Public HealthUniversity of PittsburghPittsburghPennsylvaniaUSA
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Liu S, Behrens SC, Besteher B, Bilek E, Chae WR, Clemens V, Korn C, Pflug V, Richter A, Selle J, O'Sullivan JL, von Brachel R, Totzeck C, Brandhorst I. [Structures, aims and needs of early career scientists at the German Center for Mental Health]. Nervenarzt 2024; 95:467-473. [PMID: 38668756 PMCID: PMC11068830 DOI: 10.1007/s00115-024-01631-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/05/2024] [Indexed: 05/04/2024]
Abstract
BACKGROUND Early career scientists (ECS) are agents of change and driving forces in the promotion of mental health. The German Center for Mental Health (DZPG) is a powerful initiative to guide and support careers in the field of mental health. OBJECTIVE The DZPG aims to make investments to educate, engage, excite, and empower ECS in an interdisciplinary and interinstitutional scientific community. STRUCTURES, TOPICS AND INITIATIVES To achieve this, the ECS Board at the DZPG plays a central role and consists of 18 elected ECS representatives. The ECS culture gives members the right of voice and embraces bottom-to-top ideas and acknowledges autonomy and co-determination. The DZPG academy was developed to facilitate communication and networking and encourage collaboration among ECS members. The DZPG also navigates several key issues, such as equality, diversity, inclusion, family friendliness and work-life balance, which are essential for a functioning research landscape. The DZPG also extends opportunities to ECS to develop skills and competencies that are essential for contemporary ECS. It complements nationwide support for ECS with funding opportunities, mental health support at work, careers advice and guidance activities. Importantly, the ECS Board is committed to patient and public involvement and engagement, scientific communication and knowledge transfer to multiple settings. CONCLUSION The DZPG will contribute to fostering ECS training programs for student and academic exchanges, collaborative research, and pooling of resources to acquire grants and scholarships. It will also support the establishment of hubs for ECS networks and promote the expansion of international competence of ECS in Germany.
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Affiliation(s)
- Shuyan Liu
- Klinik für Psychiatrie und Psychotherapie (Campus Charité Mitte), Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
- Deutsches Zentrum für Psychische Gesundheit (DZPG), .
| | - Simone C Behrens
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Psychosomatische Medizin und Psychotherapie, Medizinische Universitätsklinik, Tübingen, Deutschland
- Exzellenzzentrum für Essstörungen (KOMET), Tübingen, Deutschland
| | - Bianca Besteher
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Jena, Jena, Deutschland
- Institut für Psychologie, Martin-Luther-Universität Halle, Halle, Deutschland
| | - Edda Bilek
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Abteilung für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland
| | - Woo Ri Chae
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Klinik für Psychiatrie und Psychotherapie (Campus Benjamin Franklin), Charité - Universitätsmedizin Berlin, Berlin, Deutschland
- Berlin Institute of Health at Charité - Universitätsmedizin Berlin, BIH Biomedical Innovation Academy, BIH Charité Clinician Scientist Program, Berlin, Deutschland
| | - Vera Clemens
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Abteilung für Kinder- und Jugendpsychiatrie/Psychotherapie, Universität Ulm, Ulm, Deutschland
| | - Christoph Korn
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Sektion Soziale Neurowissenschaften, Abteilung für Allgemeine Psychiatrie, Universität Heidelberg, Heidelberg, Deutschland
| | - Verena Pflug
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Forschungs- und Behandlungszentrum für psychische Gesundheit, Ruhr-Universität Bochum, Bochum, Deutschland
| | - Anni Richter
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Leibniz-Institut für Neurobiologie, Magdeburg, Deutschland
- Center for Intervention and Research on Adaptive and Maladaptive Brain Circuits Underlying Mental Health (C-I-R-C), Halle-Jena-Magdeburg, Deutschland
| | - Janine Selle
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Center for Intervention and Research on Adaptive and Maladaptive Brain Circuits Underlying Mental Health (C-I-R-C), Halle-Jena-Magdeburg, Deutschland
- Institut für Psychologie, Martin-Luther-Universität Halle, Halle, Deutschland
| | - Julie L O'Sullivan
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Charité - Universitätsmedizin Berlin, Berlin, Deutschland
| | - Ruth von Brachel
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Forschungs- und Behandlungszentrum für psychische Gesundheit, Ruhr-Universität Bochum, Bochum, Deutschland
| | - Christina Totzeck
- Deutsches Zentrum für Psychische Gesundheit (DZPG)
- Forschungs- und Behandlungszentrum für psychische Gesundheit, Ruhr-Universität Bochum, Bochum, Deutschland
| | - Isabel Brandhorst
- Deutsches Zentrum für Psychische Gesundheit (DZPG), .
- Abteilung für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Universitätsklinikum Tübingen, Osianderstraße 14-16, 72076, Tübingen, Deutschland.
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Blanken M, Mathijssen J, van Nieuwenhuizen C, Raab J, van Oers H. Examining preconditions for integrated care: a comparative social network analysis of the structure and dynamics of strong relations in child service networks. BMC Health Serv Res 2023; 23:1146. [PMID: 37875928 PMCID: PMC10598897 DOI: 10.1186/s12913-023-10128-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 10/08/2023] [Indexed: 10/26/2023] Open
Abstract
BACKGROUND To help ensure that children and families get the right support and services at the right time, strong and stable relationships between various child service organizations are vital. Moreover, strong and stable relationships and a key network position for gatekeepers are important preconditions for interprofessional collaboration, the timely and appropriate referral of clients, and improved health outcomes. Gatekeepers are organizations that have specific legal authorizations regarding client referral. However, it is largely unclear how strong relations in child service networks are structured, whether the gatekeepers have strong and stable relationships, and what the critical relations in the overall structure are. The aim of this study is to explore these preconditions for integrated care by examining the internal structure and dynamics of strong relations. METHODS A comparative case study approach and social network analysis of three inter-organizational networks consisting of 65 to 135 organizations within the Dutch child service system. Multiple network measures (number of active organizations, isolates, relations, average degree centrality, Lambda sets) were used to examine the strong relation structure and dynamics of the networks. Ucinet was used to analyze the data, with use of the statistical test: Quadratic Assignment Procedure. Visone was used to visualize the graphs of the networks. RESULTS This study shows that more than 80% of the organizations in the networks have strong relations. A striking finding is the extremely high number of strong relations that gatekeepers need to maintain. Moreover, the results show that the most important gatekeepers have key positions, and their strong relations are relatively stable. By contrast, considering the whole network, we also found a considerable measure of instability in strong relationships, which means that child service networks must cope with major internal dynamics. CONCLUSIONS Our study addressed crucial preconditions for integrated care. The extremely high number of strong relations that particularly gatekeepers need to build and maintain, in combination with the considerable instability of strong relations considering the whole network, is a serious point of concern that need to be managed, in order to enable child service networks to improve internal coordination and integration of service delivery.
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Affiliation(s)
- Mariëlle Blanken
- TRANZO - Scientific center for care and wellbeing, Tilburg University, 5000 LE, Tilburg, PO BOX 90153, the Netherlands.
| | - Jolanda Mathijssen
- TRANZO - Scientific center for care and wellbeing, Tilburg University, 5000 LE, Tilburg, PO BOX 90153, the Netherlands
| | - Chijs van Nieuwenhuizen
- TRANZO - Scientific center for care and wellbeing, Tilburg University, 5000 LE, Tilburg, PO BOX 90153, the Netherlands
| | - Jörg Raab
- Department of Organization Studies, School of Social and Behavioral Sciences, Tilburg University, NL-5000 LE, Tilburg, P.O. Box 90153, The Netherlands
| | - Hans van Oers
- TRANZO - Scientific center for care and wellbeing, Tilburg University, 5000 LE, Tilburg, PO BOX 90153, the Netherlands
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Bacon CT, Jenkins M. Academic-Practice Partnership in Research: Meeting the Gold Standard. J Nurs Adm 2023; 53:246-247. [PMID: 37098862 DOI: 10.1097/nna.0000000000001278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
Academic-clinical partnerships describe relationships between 2 groups to advance mutual interests, particularly collaboration on research projects. In this column, members of the Association of Leadership Science in Nursing discuss a 10-year partnership between a nurse professor at a southeast university and a nurse scientist at a health system in the southeast United States, reflections on meeting the criterion standard in our research pursuits, and lessons learned.
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Affiliation(s)
- Cynthia Thornton Bacon
- Author Affiliations: Associate Professor (Dr Bacon), University of North Carolina Greensboro; and Director of Nursing Research (Dr Jenkins), Cone Health, Greensboro, North Carolina
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Morabia A. Building Broad Public Health Coalitions in the Post- Roe World. Am J Public Health 2023; 113:378-379. [PMID: 36888946 PMCID: PMC10003499 DOI: 10.2105/ajph.2023.307251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/01/2023] [Indexed: 03/10/2023]
Affiliation(s)
- Alfredo Morabia
- Alfredo Morabia is the editor-in-chief of AJPH, Washington, DC
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Young ME, Balmer DF, Teal CR, Borges NJ. Coordinating Flight Paths to Facilitate Interorganizational Cooperation, Interdependence, and Autonomy: Considerations for Organizations Supporting Medical Education Research and Scholarship. Acad Med 2022; 97:S8-S10. [PMID: 35947470 DOI: 10.1097/acm.0000000000004915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- Meredith E Young
- M.E. Young is cochair, Research in Medical Education (RIME) Program Planning Committee, and associate professor, Institute of Health Sciences Education, McGill University, Montreal, Quebec, Canada; ORCID: https://orcid.org/0000-0002-2036-2119
| | - Dorene F Balmer
- D.F. Balmer is cochair, Research in Medical Education (RIME) Program Planning Committee, and professor of pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; ORCID: http://orcid.org/0000-0001-6805-406
| | - Cayla R Teal
- C.R. Teal is chair, Medical Education Scholarship, Research Evaluation (MESRE), associate dean for assessment and evaluation, and associate professor, Department of Population Health, University of Kansas School of Medicine, Kansas City, Kansas; ORCID: https://orcid.org/0000-0002-2138-4926
| | - Nicole J Borges
- N.J. Borges is chair-elect, Medical Education Scholarship, Research Evaluation (MESRE), and chair and professor, Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; ORCID: http://orcid.org/0000-0003-0167-2725
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Landen J, Hernandez SHA. The Nursing Baccalaureate Dual Enrollment Model: Outcomes for A Community College and University Partnership. Nurs Adm Q 2022; 46:224-233. [PMID: 35639530 DOI: 10.1097/naq.0000000000000535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The dual enrollment model in which universities collaborate with community colleges to provide the prelicensure Bachelor of Science in Nursing (BSN) education has been identified by the National Academy of Medicine as one of 5 viable academic progression models for transforming nursing education. The New Mexico Nursing Education Consortium (NMNEC) is a successful example of the dual enrollment model, which began in 2015 with one partnership. By 2018, 3 universities and 5 community colleges had partnered to offer the BSN jointly with the community college locations. In this retrospective, descriptive study, the 2 program types were compared to assess for differences in demographic and academic characteristics as well as program outcomes for the BSN graduates (n = 1018) from 2015 to 2018. The results of the analysis show that NMNEC has been successful in increasing the total number and diversity of BSN graduates for New Mexico. Importantly, NMNEC serves as an exemplar academic-practice partnership model because the success of the consortium would not have been possible without the involvement of practice partners. The outcomes from this study support academic-practice partnerships as instrumental in developing a better educated and more diverse nursing workforce that will improve patient outcomes and strive for health equity.
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Affiliation(s)
- Jenny Landen
- Department of Family and Community Health Nursing, School of Nursing, Virginia Commonwealth University, Richmond (Dr Landen); and College of Nursing, University of New Mexico, Albuquerque1 (Dr Hernandez)
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Ma Z, Augustijn K, de Esch IJP, Bossink B. Collaborative university-industry R&D practices supporting the pharmaceutical innovation process: Insights from a bibliometric review. Drug Discov Today 2022; 27:2333-2341. [PMID: 35550437 DOI: 10.1016/j.drudis.2022.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 01/18/2022] [Accepted: 05/04/2022] [Indexed: 11/18/2022]
Abstract
University-industry collaborative research and development (UIC R&D) is generally seen as a driver of the pharmaceutical innovation process. Here, we perform a bibliometric review of UIC R&D practices over the past 30 years (1991-2020) by analyzing 800+ publications. At the strategic level of organizational cooperation patterns, the analysis shows that pharmaceutical UIC R&D mainly aims at strategic alliance formation, which gears toward universities and companies collaboratively exploring and commercializing technological breakthroughs. At the structural level of universities and companies investing in cooperation and aligning their activities, analytical results indicate that universities and companies organize themselves as interdependent entities in an open innovation ecosystem. At the cultural level of generally accepted collaboration norms and habits, analytical results show that university-company partnerships are becoming a rule rather than an exception. This study delves into a 30-year history of UIC R&D practices that support the pharmaceutical innovation process. It provides academics and practitioners with an insight into possible strategies for UIC R&D in the future and presents avenues for science, business and innovation research.
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Affiliation(s)
- Zhongxuan Ma
- Division of Science, Business & Innovation, Amsterdam Institute of Molecular and Life Sciences (AIMMS), Faculty of Science, Vrije Universiteit Amsterdam, De Boelelaan 1108, 1081 HZ Amsterdam, the Netherlands.
| | - Kevin Augustijn
- Division of Science, Business & Innovation, Amsterdam Institute of Molecular and Life Sciences (AIMMS), Faculty of Science, Vrije Universiteit Amsterdam, De Boelelaan 1108, 1081 HZ Amsterdam, the Netherlands
| | - Iwan J P de Esch
- Division of Medicinal Chemistry, Amsterdam Institute of Molecular and Life Sciences (AIMMS), Faculty of Science, Vrije Universiteit Amsterdam, De Boelelaan 1108, 1081 HZ Amsterdam, the Netherlands
| | - Bart Bossink
- Division of Science, Business & Innovation, Amsterdam Institute of Molecular and Life Sciences (AIMMS), Faculty of Science, Vrije Universiteit Amsterdam, De Boelelaan 1108, 1081 HZ Amsterdam, the Netherlands
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Miller MF, Shi M, Motsinger-Reif A, Weinberg CR, Miller JD, Nichols E. Community-Based Testing Sites for SARS-CoV-2 - United States, March 2020-November 2021. MMWR Morb Mortal Wkly Rep 2021; 70:1706-1711. [PMID: 34882655 PMCID: PMC8659188 DOI: 10.15585/mmwr.mm7049a3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Abstract
ABSTRACT During the COVID-19 pandemic, many health care facilities closed their doors to nursing students, depriving them of the experience of caring for patients, a foundation of nursing education. The purpose of this article is to report on how the National Council of State Boards of Nursing convened nurse leaders from around the country to explore this problem and develop possible solutions.Coming together virtually, these leaders recommended a national model, the practice-academic partnership, to provide nursing students with in-person clinical experiences during the pandemic. This model is unique in its recognition of the important role of nursing regulatory bodies in these partnerships. The practice-academic partnership model creates clinical education opportunities for students during a public health crisis, such as the COVID-19 pandemic. Further, the model could be applied to meet the chronic challenges nursing education programs have often faced in securing clinical sites, even in the absence of a global or national public health emergency. We provide the context in which the practice-academic partnership model was developed, along with keys to its successful implementation and suggestions for its evaluation. We also discuss the implications of using this model once the pandemic ends.
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Affiliation(s)
- Nancy M Spector
- Nancy M. Spector is director of regulatory innovations and Michelle Buck is APRN senior policy advisor, both at the National Council of State Boards of Nursing in Chicago. At the time of this writing, Sarah Phipps was associate executive director of the Idaho State Board of Nursing in Boise. Contact author: Nancy M. Spector, . The authors have disclosed no potential conflicts of interest, financial or otherwise
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Onwuamah CK, Kanteh A, Abimbola BS, Ahmed RA, Okoli CL, Shaibu JO, James AB, Ajibaye O, Okwuraiwe AP, Fowora M, Otuonye N, Worwui A, Iwalokun B, Kanteh D, Audu RA, Adegbola RA, D'Alessandro U, Salako BL, Sesay AK. SARS-CoV-2 sequencing collaboration in west Africa shows best practices. Lancet Glob Health 2021; 9:e1499-e1500. [PMID: 34678187 PMCID: PMC8525915 DOI: 10.1016/s2214-109x(21)00389-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Accepted: 08/18/2021] [Indexed: 01/19/2023]
Affiliation(s)
- Chika Kingsley Onwuamah
- Centre for Human Virology and Genomics, Nigerian Institute of Medical Research, Lagos, Nigeria.
| | - Abdoulie Kanteh
- Genomic Core facility, Medical Research Council Unit, The Gambia at LSHTM, Fajara, Banjul, The Gambia
| | | | - Rahaman Ademolu Ahmed
- Centre for Human Virology and Genomics, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Chika Leona Okoli
- Centre for Human Virology and Genomics, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Joseph Ojonugwa Shaibu
- Centre for Human Virology and Genomics, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Ayorinde B James
- Biochemistry and Nutrition Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Olusola Ajibaye
- Biochemistry and Nutrition Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Azuka P Okwuraiwe
- Centre for Human Virology and Genomics, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Muinah Fowora
- Central Research Laboratory, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Ngozi Otuonye
- Central Research Laboratory, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Archibald Worwui
- HPC facility, Medical Research Council Unit, The Gambia at LSHTM, Fajara, Banjul, The Gambia
| | - Bamidele Iwalokun
- Central Research Laboratory, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Dembo Kanteh
- Research Support Unit, Medical Research Council Unit, The Gambia at LSHTM, Fajara, Banjul, The Gambia
| | - Rosemary A Audu
- Microbiology Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | | | - Umberto D'Alessandro
- Disease Control and Elimination Research Group, Medical Research Council Unit, The Gambia at LSHTM, Fajara, Banjul, The Gambia
| | | | - Abdul Karim Sesay
- Genomic Core facility, Medical Research Council Unit, The Gambia at LSHTM, Fajara, Banjul, The Gambia
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Witti MJ, Hartmann D, Wershofen B, Zottmann JM. Building interprofessional and interinstitutional bridges in health care education. Med Educ 2021; 55:1309-1310. [PMID: 34455623 DOI: 10.1111/medu.14615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Accepted: 08/05/2021] [Indexed: 06/13/2023]
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Abstract
SETTING This article is based on the experience of the Public Health Agency of Canada Innovation Strategy (PHAC-IS) federal funding program in building Canadian population health partnerships. INTERVENTION The PHAC-IS addressed complex public health issues by funding evidence-based population health interventions in communities across Canada. These interventions were multifaceted and required the development of diverse "vested" partners to sustain systemic impact. This article explores the key elements of a vested partnership that affect systems change, and how to monitor the effects and achievements of vested partnerships as greater than what individual partners can achieve on their own. OUTCOMES Vested health partnerships have diverse partners that fit the system they are trying to change, a clear, public sectoral agenda, partner alignment, and pooling of both human and financial assets. A vested health partnership assumes strength in the diversity and governance of the partnership as well as in how it demonstrates collaborative systems change. It is important to monitor and measure both the partners and the synergy and collective impact of the partnership. IMPLICATIONS Short-term reach may need to be compromised for the brokering required to establish broad vested partners. Alignment, vestedness, and outcome measurement seem linked since strong partners that grow and adapt together change the way each sees and monitors the solution. Sophisticated partnerships, like a murmuration of starlings, act in concert to push learning and change practices, policies and societal norms. Capturing the movement of the flock is as important as counting the birds.
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Affiliation(s)
- Nanci Lee
- Sisters Ink Ltd., Halifax, NS, Canada.
| | - Kelly Kavanagh Salmond
- Health Promotion and Chronic Disease Prevention Branch/Direction générale de la promotion de la santé et de la prévention des maladies chroniques, Public Health Agency of Canada/Agence de la santé publique du Canada, Ottawa, ON, Canada
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Brandt PD, Sturzenegger Varvayanis S, Baas T, Bolgioni AF, Alder J, Petrie KA, Dominguez I, Brown AM, Stayart CA, Singh H, Van Wart A, Chow CS, Mathur A, Schreiber BM, Fruman DA, Bowden B, Wiesen CA, Golightly YM, Holmquist CE, Arneman D, Hall JD, Hyman LE, Gould KL, Chalkley R, Brennwald PJ, Layton RL. A cross-institutional analysis of the effects of broadening trainee professional development on research productivity. PLoS Biol 2021; 19:e3000956. [PMID: 34264929 PMCID: PMC8282014 DOI: 10.1371/journal.pbio.3000956] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Accepted: 05/12/2021] [Indexed: 11/23/2022] Open
Abstract
PhD-trained scientists are essential contributors to the workforce in diverse employment sectors that include academia, industry, government, and nonprofit organizations. Hence, best practices for training the future biomedical workforce are of national concern. Complementing coursework and laboratory research training, many institutions now offer professional training that enables career exploration and develops a broad set of skills critical to various career paths. The National Institutes of Health (NIH) funded academic institutions to design innovative programming to enable this professional development through a mechanism known as Broadening Experiences in Scientific Training (BEST). Programming at the NIH BEST awardee institutions included career panels, skill-building workshops, job search workshops, site visits, and internships. Because doctoral training is lengthy and requires focused attention on dissertation research, an initial concern was that students participating in additional complementary training activities might exhibit an increased time to degree or diminished research productivity. Metrics were analyzed from 10 NIH BEST awardee institutions to address this concern, using time to degree and publication records as measures of efficiency and productivity. Comparing doctoral students who participated to those who did not, results revealed that across these diverse academic institutions, there were no differences in time to degree or manuscript output. Our findings support the policy that doctoral students should participate in career and professional development opportunities that are intended to prepare them for a variety of diverse and important careers in the workforce.
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Affiliation(s)
- Patrick D. Brandt
- University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
| | | | - Tracey Baas
- University of Rochester, Rochester, New York, United States of America
| | | | - Janet Alder
- Rutgers University, New Brunswick, New Jersey, United States of America
| | | | - Isabel Dominguez
- Boston University, Boston, Massachusetts, United States of America
| | - Abigail M. Brown
- Vanderbilt University, Nashville, Tennessee, United States of America
| | | | - Harinder Singh
- University of California-Irvine, Irvine, California, United States of America
| | - Audra Van Wart
- Virginia Polytechnic Institute and State University, Blacksburg, Virginia, United States of America
| | | | - Ambika Mathur
- Wayne State University, Detroit, Michigan, United States of America
| | | | - David A. Fruman
- University of California-Irvine, Irvine, California, United States of America
| | - Brent Bowden
- Virginia Polytechnic Institute and State University, Blacksburg, Virginia, United States of America
| | - Christopher A. Wiesen
- University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
| | - Yvonne M. Golightly
- University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
| | - Chris E. Holmquist
- University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
| | - Daniel Arneman
- University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
| | - Joshua D. Hall
- University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
| | - Linda E. Hyman
- Boston University, Boston, Massachusetts, United States of America
| | - Kathleen L. Gould
- Vanderbilt University, Nashville, Tennessee, United States of America
| | - Roger Chalkley
- Vanderbilt University, Nashville, Tennessee, United States of America
| | - Patrick J. Brennwald
- University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
| | - Rebekah L. Layton
- University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
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15
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Abstract
Academic-practice partnerships are formalized relationships encouraged by the American Association of Colleges of Nursing to meet healthcare and societal needs. While Academic-practice partnerships have existed for decades, the process for evaluating their outcomes often lacks a robust, standardized structure. The purpose of this article is to describe one organization's process for developing and implementing an evaluation blueprint for appraising an Academic-practice partnership.
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Affiliation(s)
- Shea Polancich
- Author Affiliations: Assistant Dean/Associate Professor Joint-Appointment (Dr Polancich), University of Alabama at Birmingham Hospital, University of Alabama at Birmingham School of Nursing; Chief Nursing Officer/Vice President Nursing (Dr Poe), University of Alabama at Birmingham Hospital; and Director, Educationally Focused Practice Partnerships and Associate Professor (Dr Miltner), Dean (Dr Harper), Senior Associate Dean Academic Affairs (Dr Moneyham), and Associate Dean, Clinical and Global Partnerships (Dr Shirey), University of Alabama at Birmingham School of Nursing
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16
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Rubin EJ, Baden LR, Walensky RP, Morrissey S. Audio Interview: Covid-19 Vaccines and Pregnancy - A Conversation with CDC Director Rochelle Walensky. N Engl J Med 2021; 384:e73. [PMID: 33882211 DOI: 10.1056/nejme2106836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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17
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Akintade B, Idzik S, Gourley B, Montgomery KL, Indenbaum-Bates K, Novak K, Hicks GN, Appleby T. Academic-Practice Partnership in Rural Maryland: Opportunities for Advanced Practice Registered Nurse Training and Employment. J Nurs Adm 2021; 51:227-231. [PMID: 33734183 DOI: 10.1097/nna.0000000000001002] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
This case study describes how an innovative, triple-win, academic-practice partnership model can be used to deepen the clinical expertise of advanced practice registered nurse (APRN) students and improve rural Americans' access to quality patient care. It features the experience and strategies used by a school of nursing and a local rural hospital system collaborating to provide clinical experiences for APRN students pursuing doctor of nursing practice degrees.
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Affiliation(s)
- Bimbola Akintade
- Author Affiliations: Associate Dean (Drs Akintade and Idzik), Director (Dr Gourley), Associate Professor (Dr Montgomery), Grant Coordinator (Ms Indenbaum-Bates), and Assistant Director (Ms Novak), University of Maryland School of Nursing, Baltimore; and Director (Mr Hicks and Dr Appleby), University of Maryland Upper Chesapeake Health, Bel Air
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18
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Abstract
Pathway to Excellence® and Sigma team up to benefit nurses.
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Affiliation(s)
- Christine Pabico
- Christine Pabico is the director of the Pathway to Excellence Program at the American Nurses Credentialing Center in Silver Spring, Md. Sarah Abel is the director of educational resources, global initiatives, and marketplace at Sigma Theta Tau International Honor Society of Nursing in Indianapolis, Ind
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Harris B, McClain MB, O'Leary S, Shahidullah JD. Implications of COVID-19 on School Services for Children with Disabilities: Opportunities for Interagency Collaboration. J Dev Behav Pediatr 2021; 42:236-239. [PMID: 33596007 DOI: 10.1097/dbp.0000000000000921] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Accepted: 12/01/2020] [Indexed: 10/22/2022]
Abstract
ABSTRACT The transition to virtual and hybrid schooling given the COVID-19 pandemic in the United States has upended the education system and may be widening gaps in service disparities, particularly for children with disabilities. Schools often function as "de facto" service systems for most children with disabilities, particularly those from racially and ethnically minoritized, economically vulnerable, and bilingual populations. The impact of school closures on children with disabilities poses significant ramifications for the medical, behavioral health, and educational systems in which they are served, necessitating the need for pediatric clinicians to collaborate with schools in purposeful ways. This commentary (1) presents an overview of the current guidance for providing school-based services to children with disabilities during the COVID context with many schools operating in virtual or hybrid formats, (2) reviews potential service inequities exacerbated by school closures and lack of on-site services, and (3) offers recommendations for collaborating with school staff and community agencies in support of children and families with disabilities.
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Affiliation(s)
- Bryn Harris
- Department of Pediatrics and School of Education and Human Development, University of Colorado Denver, Denver, CO
| | | | - Sonja O'Leary
- Department of Pediatrics, University of Colorado Denver, Denver, CO
- Denver Health School Based Health Center, Department of Pediatrics, Denver Health, School and Community Programs, Denver, CO
| | - Jeffrey D Shahidullah
- Department of Psychiatry and Behavioral Sciences, Dell Medical School, The University of Texas at Austin, Austin, TX
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20
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Franceschini D, Grabowski J, Sefilyan E, Moro TT, Ewald B. Covid-19: A critical time for cross-sector social work care management. Soc Work Health Care 2021; 60:197-207. [PMID: 33775235 DOI: 10.1080/00981389.2021.1904319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 03/03/2021] [Accepted: 03/12/2021] [Indexed: 06/12/2023]
Abstract
Covid-19 has profoundly impacted social work and has exposed the existing inequities in the health care system in the United States. Social workers play a critical role in the pandemic response for historically marginalized communities and for those who find themselves needing support for the first time. Innovative approaches to care management, including the Center for Health and Social Care Integration (CHaSCI) Bridge Model of transitional care provides a foundation from which social workers can rise to meet these new challenges.
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Affiliation(s)
| | | | | | - Teresa T Moro
- Center for Health and Social Care Integration, Rush University System for Health, Chicago, Illinois, USA
| | - Bonnie Ewald
- Center for Health and Social Care Integration, Rush University System for Health, Chicago, Illinois, USA
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21
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Fuss AA, Bloch HI, Dean-Assael K, Kutner M, Baier ME, Ready T, Vilgorin B, Hannibal L, Fortune J, Cerrato C, Nyreen J. Supporting families struggling with food insecurity during the COVID-19 pandemic: An innovative cross-sector collaboration. Soc Work Health Care 2021; 60:157-165. [PMID: 33752580 DOI: 10.1080/00981389.2021.1904318] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 01/04/2021] [Accepted: 03/12/2021] [Indexed: 06/12/2023]
Abstract
Food insecurity is an ongoing and persistent problem for many individuals and families in the United States and in New York City. The COVID-19 pandemic has exacerbated the scope of the problem and data show that food insecurity rates have increased almost three times over pre-COVID rates. In addition, with unemployment increasing daily and the closure of safety net programs and services, there became a need for creatively attending to the basic needs of individuals and families. SCO Family of Services (SCO), a large human service provider in New York City and Long Island, launched an innovative project with DoorDash during the early days of the COVID-19 pandemic and successfully got food into the homes of more than 1,900 families. This article discusses the practice innovation, project impact, lessons learned, and social work implications.
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Affiliation(s)
- Ashley Ann Fuss
- The McSilver Institute for Poverty Policy and Research, New York University Silver School of Social Work, New York, New York, USA
| | | | - Kara Dean-Assael
- The McSilver Institute for Poverty Policy and Research, New York University Silver School of Social Work, New York, New York, USA
| | - Marc Kutner
- Akuity Social Enterprises, Inc., New York, New York, USA
| | - Meaghan E Baier
- The McSilver Institute for Poverty Policy and Research, New York University Silver School of Social Work, New York, New York, USA
| | - Tara Ready
- The McSilver Institute for Poverty Policy and Research, New York University Silver School of Social Work, New York, New York, USA
| | - Boris Vilgorin
- The McSilver Institute for Poverty Policy and Research, New York University Silver School of Social Work, New York, New York, USA
| | | | | | | | - James Nyreen
- SCO Family of Services, Glen Cove, New York, USA
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22
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Tension mounts between staff union and Edinburgh. Vet Rec 2021; 188:167-8. [PMID: 33666981 DOI: 10.1002/vetr.255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Abstract
This article describes an academic-clinical partnership program between a school of nursing and an American Nurse Credentialing Center Magnet®- and National Cancer Institute-designated Comprehensive Cancer Center based on a shared vision and multifaceted for optimal new graduate operating room (OR) recruitment and use of clinical partner resources. The program, now in its 3rd year, has a 100% retention rate among the cohorts. Implementing a multifaceted OR partnership program based on nursing theory is a strategy for workforce development to increase retention of new graduate OR nurses.
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Affiliation(s)
- Christopher Brooks
- Author Affiliations : Director (Mr Brooks), Nursing Professional Development and Education, Memorial Sloan Kettering Cancer Center, New York; Associate Dean for Academic Affairs & Strategic Partnerships (Dr Della Ratta), Stony Brook University; Chair (Dr LaSala), Department of Undergraduate Studies, Stony Brook University; and Perioperative Nurse Professional Development Specialist (Ms Gerberich) and Deputy Chief Nursing Officer (Dr Browne), Memorial Sloan Kettering Cancer Center, New York, New York
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24
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Welsh WN, Dembo R, Lehman WEK, Bartkowski JP, Hamilton L, Leukefeld CG, Wiley T. Critical Factors Influencing Interorganizational Relationships Between Juvenile Probation and Behavioral Health Agencies. Adm Policy Ment Health 2021; 48:233-249. [PMID: 32666324 PMCID: PMC7854784 DOI: 10.1007/s10488-020-01066-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Although interorganizational relationships (IORs) are essential to the effective delivery of human services, very little research has examined relationships between juvenile justice agencies and behavioral health providers, and few studies have identified the most critical organizational and individual-level characteristics influencing IORs. Across 36 sites, juvenile probation officials (n = 458) and community behavioral health providers (n = 91) were surveyed about characteristics of their agencies, themselves, and IORs with each other. Generalized Linear Mixed Models were used to analyze the data. The strongest predictors included Perceived Organizational Support and individual Adaptability. Implications for research, theory and practice are discussed.
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Affiliation(s)
| | | | | | | | | | | | - Tisha Wiley
- National Institute On Drug Abuse, North Bethesda, USA
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25
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Medland J, Moscinski P. Leadership lessons on partnership. Nurs Manag (Harrow) 2021; 52:30-36. [PMID: 33394915 DOI: 10.1097/01.numa.0000724896.32083.72] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Jacqueline Medland
- Jacqueline Medland is a clinical associate professor in the Edson College of Nursing and Health Innovation at Arizona State University. Paula Moscinski is the founder of Innerconnections, LLC, a coaching organization helping leaders cultivate leadership thought and practices that build genuine relationships with those they lead
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26
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Sane J, Ruutu P, Soleman S, Elmi M. Implementation of the International Health Regulations in Somaliland supports multisectoral response to COVID-19. J Glob Health 2020; 10:020364. [PMID: 33110559 PMCID: PMC7565742 DOI: 10.7189/jogh.10.020364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Jussi Sane
- Department of Health Security, Finnish Institute for Health and Welfare, Mannerheimintie, Helsinki, Finland
| | - Petri Ruutu
- Department of Health Security, Finnish Institute for Health and Welfare, Mannerheimintie, Helsinki, Finland
| | - Saeed Soleman
- Ministry of Health Development, Hargeisa, Republic of Somaliland
| | - Mohamed Elmi
- Ministry of Health Development, Hargeisa, Republic of Somaliland
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Ridgely MS, Buttorff C, Wolf LJ, Duffy EL, Tom AK, Damberg CL, Scanlon DP, Vaiana ME. The importance of understanding and measuring health system structural, functional, and clinical integration. Health Serv Res 2020; 55 Suppl 3:1049-1061. [PMID: 33284525 PMCID: PMC7720708 DOI: 10.1111/1475-6773.13582] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE We explore if there are ways to characterize health systems-not already revealed by secondary data-that could provide new insights into differences in health system performance. We sought to collect rich qualitative data to reveal whether and to what extent health systems vary in important ways across dimensions of structural, functional, and clinical integration. DATA SOURCES Interviews with 162 c-suite executives of 24 health systems in four states conducted through "virtual" site visits between 2017 and 2019. STUDY DESIGN Exploratory study using thematic comparative analysis to describe factors that may lead to high performance. DATA COLLECTION We used maximum variation sampling to achieve diversity in size and performance. We conducted, transcribed, coded, and analyzed in-depth, semi-structured interviews with system executives, covering such topics as market context, health system origin, organizational structure, governance features, and relationship of health system to affiliated hospitals and POs. PRINCIPAL FINDINGS Health systems vary widely in size and ownership type, complexity of organization and governance arrangements, and ability to take on risk. Structural, functional, and clinical integration vary across systems, with considerable activity around centralizing business functions, aligning financial incentives with physicians, establishing enterprise-wide EHR, and moving toward single signatory contracting. Executives describe clinical integration as more difficult to achieve, but essential. Studies that treat "health system" as a binary variable may be inappropriately aggregating for analysis health systems of very different types, at different degrees of maturity, and at different stages of structural, functional, and clinical integration. As a result, a "signal" indicating performance may be distorted by the "noise." CONCLUSIONS Developing ways to account for the complex structures of today's health systems can enhance future efforts to study systems as complex organizations, to assess their performance, and to better understand the effects of payment innovation, care redesign, and other reforms.
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Affiliation(s)
| | | | - Laura J. Wolf
- Center for Health Care and Policy ResearchThe Pennsylvania State UniversityUniversity ParkPennsylvaniaUSA
| | - Erin Lindsey Duffy
- RAND CorporationSanta MonicaCaliforniaUSA
- Leonard D. Schaeffer Center for Health Policy and EconomicsUniversity of Southern CaliforniaLos AngelesCaliforniaUSA
| | | | | | - Dennis P. Scanlon
- Center for Health Care and Policy ResearchThe Pennsylvania State UniversityUniversity ParkPennsylvaniaUSA
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29
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Clary AS, Perry KR, Edwards-Orr M, Miech EJ, VanHoutven C, Rudolph JL, Thomas KS, Sperber N. Interorganizational Context When Implementing Multisector Partnered Programs: A Qualitative Analysis of Veteran Directed Care. J Gerontol Soc Work 2020; 63:822-836. [PMID: 33167782 DOI: 10.1080/01634372.2020.1817828] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 08/25/2020] [Accepted: 08/28/2020] [Indexed: 06/11/2023]
Abstract
As the number of Veterans enrolled in the Veterans Health Administration (VHA) and at risk for needing Long Term Services and Supports increases, VHA is shifting from institutional to Home and Community Based Services, such as the Veteran-Directed Care (VDC) program. VDC is a multi-sector program implemented as a collaboration between individual VHA medical centers (VAMCs) and Aging and Disability Network Agencies (ADNAs), entities that sit outside the VHA. Factors that affect establishment of effective multi-sector programs such as VDC are poorly understood, limiting ability to effectively deliver and scale programs. We conducted a qualitative study to describe factors affecting the interorganizational implementation context of VDC. Using constructs from the Consolidated Framework for Implementation Research (CFIR), we interviewed VDC coordinators from seven different VAMC-ADNA partnerships that initiated the VDC program between 2017 and 2018. We identified eight CFIR determinants which manifested similarly for the VAMCs and ADNAs: evidence strength and quality, relative advantage, adaptability, tension for change, access to knowledge and information, self-efficacy; engaging, and champions. We identified three CFIR determinants that varied dramatically across VAMCs and ADNAs: available resources, implementation climate, and relative priority. Our results suggest that interorganizational context plays a critical and dynamic role within multi-sector collaborations.
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Affiliation(s)
- Alecia S Clary
- Center for Healthcare Transformation, Avalere Health , Washington, DC, USA
| | - Kathleen R Perry
- Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, North Carolina, USA
| | | | - Edward J Miech
- Health Services Research & Development Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, Indiana, USA
- William M. Tierney Center for Health Services Research, Regenstrief Institute , Indianapolis, Indiana, USA
| | - Courtney VanHoutven
- Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, North Carolina, USA
- Department of Population Health Sciences, Duke University School of Medicine , Durham, North Carolina, USA
- Duke Margolis Center for Health Policy , Durham, North Carolina, USA
| | - James L Rudolph
- VA Providence Healthcare System, Providence, Rhode Island, USA
| | - Kali S Thomas
- VA Providence Healthcare System, Providence, Rhode Island, USA
- Center for Gerontology and Healthcare Research, Brown University School of Public Health , Providence, Rhode Island, USA
| | - Nina Sperber
- Center for Healthcare Transformation, Avalere Health , Washington, DC, USA
- Department of Population Health Sciences, Duke University School of Medicine , Durham, North Carolina, USA
- Duke Margolis Center for Health Policy , Durham, North Carolina, USA
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30
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Abstract
Attendance at conferences as part of undergraduate studies is key in health professional education for exploring speciality interests, sharing research, exchanging expertise and passing on knowledge. In addition, conferences offer valuable opportunities to present work and the potential to win prizes and network with others in the field. This article provides insight and guidance into how student-led and designed health science and education conferences can be implemented more effectively. It is aimed at students hoping to organise conferences and also to clinical educators and staff who help facilitate these. We present recommendations, a framework of steps to be followed and a case study, as well as an exploration of the challenges that COVID-19 has presented and how these have been overcome.
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Affiliation(s)
- Catherine Dominic
- 1 - Barts and the London School of Medicine, Queen Mary University of London, London, UK
| | - Gaurav Bhalla
- 1 - Barts and the London School of Medicine, Queen Mary University of London, London, UK
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31
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Abstract
Medical affairs has evolved over recent years from a support, to a partner, to a strategic leadership function. In the future, there will be significant changes in healthcare and pharmaceutical industries, and many of these will be due to technological advances and digitalisation. Medical affairs will be largely influenced by these developments in terms of partnerships with key stakeholders, embracing innovation and patient-centric healthcare, and demonstrating value for novel treatment options. In order to secure future success within their roles, medical affairs professionals will have to demonstrate specific capabilities founded on communications and behavioural change, business leadership acumen, knowledge acquisition and self-development, and the ability to generate real-world evidence from insights and expertise within data science and analytics. It will be our responsibility as medical affairs leaders to create this foundation for the leaders of tomorrow.
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Affiliation(s)
- Alexander Bedenkov
- AstraZeneca Medical, International Region, Horizon Place, 600 Capability Green, Luton, LU3 1LU, UK
| | - Viraj Rajadhyaksha
- AstraZeneca Medical, International Region, Horizon Place, 600 Capability Green, Luton, LU3 1LU, UK.
| | - Maarten Beekman
- AstraZeneca Medical, International Region, Horizon Place, 600 Capability Green, Luton, LU3 1LU, UK
| | - Carmen Moreno
- AstraZeneca Medical, International Region, Horizon Place, 600 Capability Green, Luton, LU3 1LU, UK
| | - Pei-Chieh Fong
- AstraZeneca Medical, International Region, Horizon Place, 600 Capability Green, Luton, LU3 1LU, UK
| | - Lyra Agustin
- AstraZeneca Medical, International Region, Horizon Place, 600 Capability Green, Luton, LU3 1LU, UK
| | - Sarah Odell
- AstraZeneca Human Resources, International Region, Cambridge, UK
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32
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Dunham S, Cox WC, Wingo BL, Zeeman JM. Evaluation of a Council Structure and Meeting Format for Pharmacy Student Government in the Co-Curriculum. Am J Pharm Educ 2020; 84:ajpe7755. [PMID: 33149323 PMCID: PMC7596597 DOI: 10.5688/ajpe7755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Accepted: 05/31/2020] [Indexed: 06/11/2023]
Abstract
Objective. To evaluate student perceptions of a transformed pharmacy student government structure and meeting format. Methods. The structure and general assembly meeting format of the University of North Carolina at Chapel Hill (UNC) Eshelman School of Pharmacy Student Senate (ie, student government) underwent a transformation from that of a forum to that of a council in an effort to address concerns regarding limited information exchange, minimal discussion, and unengaged meeting participants. To evaluate student perceptions of the new senate council format, members who attended at least one council meeting during the academic year were asked to complete a 12-item survey evaluating interorganizational relations, communication, collaboration, and efficiencies. Descriptive statistics were used to summarize students' agreement with 10 survey items. Thematic analysis was employed to identify common themes in students' responses to the two open-ended survey items. Results. The majority of students agreed or strongly agreed that the senate council facilitated interorganizational relations (86%), communication (93%), and collaboration (86%). Ninety-three percent of respondents agreed or strongly agreed that the senate council improved efficiencies, while 96% preferred the new senate council meeting format over the previous senate meeting format. Common qualitative themes included improved engagement during council meetings because of the "no laptop" policy and facilitation of open conversation by having a roundtable format and smaller number of members in attendance. Overall, 93% of students indicated they were satisfied or highly satisfied with the new meeting format. Conclusion. Student perceptions suggest that the new senate council structure and meeting format was effective at improving interorganizational relations, communication, collaboration, and efficiencies within student body government.
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Affiliation(s)
- Sabrina Dunham
- Tristar Centennial Medical Center/University of Tennessee College of Pharmacy in Nashville, Tennessee
- The University of North Carolina at Chapel Hill, UNC Eshelman School of Pharmacy, Chapel Hill, North Carolina
| | - Wendy C. Cox
- The University of North Carolina at Chapel Hill, UNC Eshelman School of Pharmacy, Chapel Hill, North Carolina
| | - Bradford L. Wingo
- The University of North Carolina at Chapel Hill, UNC Eshelman School of Pharmacy, Chapel Hill, North Carolina
| | - Jacqueline M. Zeeman
- The University of North Carolina at Chapel Hill, UNC Eshelman School of Pharmacy, Chapel Hill, North Carolina
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Ross LA, Sease J, Zillich A, Downing DF, Turner K, Shrader S, Crichlow R, Snead B, Cárdenas J. Report of the 2019-2020 Strategic Engagement Standing Committee. Am J Pharm Educ 2020; 84:ajpe8202. [PMID: 33149339 PMCID: PMC7596608 DOI: 10.5688/ajpe8202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
For the American Association of Colleges of Pharmacy (AACP) strategic engagement is critical to the success of colleges and schools of pharmacy in expanding pharmacy and public health practice, meeting programmatic needs, and fulfilling institutional missions. The 2019-2020 Strategic Engagement Committee was charged with exploring the collaborative relationships colleges and schools have within their state to advance pharmacy practice. More specifically, this committee was tasked to examine those relationships with current state pharmacy and medical associations. This report seeks to provide insights from this work and share recommendations to assist AACP in facilitating practice transformation. To uncover current schools' relationships with state and medical associations, the committee utilized AACP's ability in convening members to conduct focus groups at INsight 2020 and one-on-one interviews with key faculty members. Overall, partnerships with state pharmacy associations are successful or growing, whereas there is still work to be done in developing relationships and collaborating with medical and health care societies. We found that there are several schools with "best practices" related to state association collaborations and look to highlight exemplar practices in this report as they are critical towards practice transformations.
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Affiliation(s)
- Leigh Ann Ross
- University of Mississippi, School of Pharmacy, University, Mississippi
| | - Julie Sease
- University of South Carolina, College of Pharmacy, Columbia, South Carolina
| | - Alan Zillich
- Purdue University, College of Pharmacy, Lafayette, Indiana
| | - Donald F Downing
- University of Washington, School of Pharmacy, Seattle, Washington
| | - Kyle Turner
- University of Utah, College of Pharmacy, Salt Lake City, Utah
| | - Sarah Shrader
- University of Kansas, School of Pharmacy, Lawrence, Kansas
| | - Renee Crichlow
- University of Minnesota Medical School, Minneapolis, Minnesota
| | - Becky Snead
- National Alliance of State Pharmacy Associations, North Chesterfield, Virginia
| | - Jasey Cárdenas
- American Association of Colleges of Pharmacy, Arlington, Virginia
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Abstract
The response to the COVID-19 crisis across most research institutions mandated ceasing nonessential research activities in order to minimize the spread of the virus in our communities. With minimal notice, experiments were terminated, cell lines were frozen, mouse colonies were culled, and trainees were prevented from performing bench research. Still, despite the interruption of experimental productivity, the shutdown has proven for many PIs and trainees that doing and thinking science are not activities that are bound to the laboratory. Furthermore, the shutdowns have solidified important emerging trends and forced us to further innovate to get the most out of working remotely. We hope that some of these innovations, hard-gained in this difficult time, will persist and develop into new paradigms-lessons that will improve our science and our relationship to the climate and community beyond the current pandemic.
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Affiliation(s)
- Tanya S. Freedman
- Department of Pharmacology, Center for Immunology, Masonic Cancer Center, Center for Autoimmune Diseases Research, University of Minnesota, Minneapolis, MN
| | - Mark B. Headley
- Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA
- Department of Immunology, University of Washington School of Medicine, Seattle, WA
| | - Nina Serwas
- Department of Pathology, University of California, San Francisco, San Francisco, CA
- University of California, San Francisco ImmunoX Initiative, University of California, San Francisco, San Francisco, CA
| | - Megan Ruhland
- Department of Pathology, University of California, San Francisco, San Francisco, CA
- University of California, San Francisco ImmunoX Initiative, University of California, San Francisco, San Francisco, CA
| | - Carlos A. Castellanos
- University of California, San Francisco ImmunoX Initiative, University of California, San Francisco, San Francisco, CA
- Department of Microbiology and Immunology, University of California, San Francisco, San Francisco, CA
| | - Alexis J. Combes
- Department of Pathology, University of California, San Francisco, San Francisco, CA
- University of California, San Francisco ImmunoX Initiative, University of California, San Francisco, San Francisco, CA
- University of California, San Francisco CoLabs, University of California, San Francisco, San Francisco, CA
| | - Matthew F. Krummel
- Department of Pathology, University of California, San Francisco, San Francisco, CA
- University of California, San Francisco ImmunoX Initiative, University of California, San Francisco, San Francisco, CA
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van Vooren NJE, Drewes HW, de Weger E, Bongers IMB, Baan CA. Cross-Sector Collaboration for a Healthy Living Environment-Which Strategies to Implement, Why, and in Which Context? Int J Environ Res Public Health 2020; 17:ijerph17176250. [PMID: 32867360 PMCID: PMC7504038 DOI: 10.3390/ijerph17176250] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 08/14/2020] [Accepted: 08/19/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND Working toward a healthy living environment requires organizations from different policy domains and nongovernment partners involved in public health and the living environment to collaborate across sectors. The aim of this study is to understand how this cross-sector collaboration for a healthy living environment can be achieved. METHODS The realist evaluation approach was used to investigate what strategies can be used in which contexts to achieve cross-sector collaboration. The "Collaborative Adaptive Health Networks" framework was used as a theoretical framework. Seventeen partners of three Dutch projects collaborating for a healthy living environment in different regions were interviewed about their experiences during the initiating phase of their projects. RESULTS Seven themes for achieving cross-sector collaboration were identified, namely creating a feeling of equivalence, building trust, bridging different perspectives, providing clarity regarding roles and tasks, creating commitment, creating active engagement, and understanding whom to engage and when. For each theme, the strategies that were used, and why, were specified. CONCLUSION This study provides new insights in how cross-sector collaboration for a healthy living environment can be achieved in different contexts. Whether the start of a cross-sectoral collaboration is successful is largely influenced by the choice of leadership and the interorganizational relations.
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Affiliation(s)
- Natascha J. E. van Vooren
- Department of Quality of Care and Health Economics, Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, The Netherlands; (H.W.D.); (E.d.W.)
- Tranzo, Tilburg School of Social and Behavioural Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands; (I.M.B.B.); (C.A.B.)
- Correspondence: ; Tel.: +31-06-257-757-52
| | - Hanneke W. Drewes
- Department of Quality of Care and Health Economics, Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, The Netherlands; (H.W.D.); (E.d.W.)
| | - Esther de Weger
- Department of Quality of Care and Health Economics, Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, The Netherlands; (H.W.D.); (E.d.W.)
- Tranzo, Tilburg School of Social and Behavioural Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands; (I.M.B.B.); (C.A.B.)
| | - Inge M. B. Bongers
- Tranzo, Tilburg School of Social and Behavioural Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands; (I.M.B.B.); (C.A.B.)
- Mental Health Care Institute Eindhoven, de Kempen, P.O. Box 909, 5600 AX Eindhoven, The Netherlands
| | - Caroline A. Baan
- Tranzo, Tilburg School of Social and Behavioural Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands; (I.M.B.B.); (C.A.B.)
- National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, The Netherlands
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Peters MA, Deressa W, Sarker M, Sharma N, Owoaje E, Ahmad RA, Saljuqi T, Mafuta E, Alonge O. Sampling method for surveying complex and multi-institutional partnerships: lessons from the Global Polio Eradication Initiative. BMC Public Health 2020; 20:1197. [PMID: 32787958 PMCID: PMC7421812 DOI: 10.1186/s12889-020-08592-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 03/25/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Complex global initiatives, like the Global Polio Eradication Initiative (GPEI), have prevented millions of paralyses and improved the health status of diverse populations. Despite the logistical challenges these initiatives must overcome at several levels, scant methods exist for systematically identifying and reaching a range of actors involved in their implementation. As a result, efforts to document the lessons learned from such initiatives are often incomplete. This paper describes the development and application of the Synthesis and Translation of Research and Innovations from Polio Eradication (STRIPE) systematic approach for identifying a comprehensive sample of actors involved in the GPEI. RESULTS The survey for collecting lessons learned from the GPEI was conducted at the global level and within seven countries that represented GPEI operational contexts. Standard organizational and operational levels, as well as goals of program activities, were defined across contexts. Each survey iteration followed similar methodologies to theorize a target population or "universe" of all polio-related actors in the study area, enumerate a source population of specific individuals within the target population, and administer the survey to individuals within the source population. Based on the systematic approach used to obtain a comprehensive sample for lessons learned in GPEI, steps for obtaining a comprehensive sample for studying complex initiatives can be summarized as follows: (i) State research goal(s); (ii) Describe the program of interest; (iii) Define a sampling universe to meet these criteria; (iv) Estimate the size of the sampling universe; (v) Enumerate a source population within the universe that can be feasibly reached for sampling; (vi) Sample from the source population; and (vii) Reflect on the process to determine strength of inferences drawn. CONCLUSIONS The application of these methods can inform future evaluations of complex public health initiatives, resulting in better adoption of lessons learned, ultimately improving efficacy and efficiency, and resulting in significant health gains. Their use to administer the STRIPE lessons learned survey reflects experiences related to implementation challenges and strategies used to overcome barriers from actors across an extensive range of organizational, programming, and contextual settings.
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Affiliation(s)
- Michael A Peters
- Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
| | - Wakgari Deressa
- Addis Ababa University School of Public Health, Addis Ababa, Ethiopia
| | - Malabika Sarker
- BRAC University JP Grant School of Public Health, Dhaka, Bangladesh
| | - Neeraj Sharma
- Indian Institute of Health Management Research, Jaipur, India
| | - Eme Owoaje
- University of Ibadan College of Medicine, Ibadan, Nigeria
| | | | - Tawab Saljuqi
- Global Innovations Consultancy Services, Kabul, Afghanistan
| | - Eric Mafuta
- University of Kinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo
| | - Olakunle Alonge
- Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
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Sheller MJ, Edwards B, Reina GA, Martin J, Pati S, Kotrotsou A, Milchenko M, Xu W, Marcus D, Colen RR, Bakas S. Federated learning in medicine: facilitating multi-institutional collaborations without sharing patient data. Sci Rep 2020; 10:12598. [PMID: 32724046 PMCID: PMC7387485 DOI: 10.1038/s41598-020-69250-1] [Citation(s) in RCA: 240] [Impact Index Per Article: 60.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Accepted: 06/23/2020] [Indexed: 12/15/2022] Open
Abstract
Several studies underscore the potential of deep learning in identifying complex patterns, leading to diagnostic and prognostic biomarkers. Identifying sufficiently large and diverse datasets, required for training, is a significant challenge in medicine and can rarely be found in individual institutions. Multi-institutional collaborations based on centrally-shared patient data face privacy and ownership challenges. Federated learning is a novel paradigm for data-private multi-institutional collaborations, where model-learning leverages all available data without sharing data between institutions, by distributing the model-training to the data-owners and aggregating their results. We show that federated learning among 10 institutions results in models reaching 99% of the model quality achieved with centralized data, and evaluate generalizability on data from institutions outside the federation. We further investigate the effects of data distribution across collaborating institutions on model quality and learning patterns, indicating that increased access to data through data private multi-institutional collaborations can benefit model quality more than the errors introduced by the collaborative method. Finally, we compare with other collaborative-learning approaches demonstrating the superiority of federated learning, and discuss practical implementation considerations. Clinical adoption of federated learning is expected to lead to models trained on datasets of unprecedented size, hence have a catalytic impact towards precision/personalized medicine.
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Affiliation(s)
- Micah J Sheller
- Intel Corporation, 2200 Mission College Blvd., Santa Clara, CA, 95052, USA
| | - Brandon Edwards
- Intel Corporation, 2200 Mission College Blvd., Santa Clara, CA, 95052, USA
| | - G Anthony Reina
- Intel Corporation, 2200 Mission College Blvd., Santa Clara, CA, 95052, USA
| | - Jason Martin
- Intel Corporation, 2200 Mission College Blvd., Santa Clara, CA, 95052, USA
| | - Sarthak Pati
- Center for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, Richards Medical Research Laboratories, Floor 7, 3700 Hamilton Walk, Philadelphia, PA, 19104, USA
- Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Richards Medical Research Laboratories, Floor 7, 3700 Hamilton Walk, Philadelphia, PA, 19104, USA
| | - Aikaterini Kotrotsou
- Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler St., Houston, TX, 77030, USA
- Department of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, 1881 East Rd, 3SCRB4, Houston, TX, 77054, USA
| | - Mikhail Milchenko
- Department of Radiology, Washington University School of Medicine, St. Louis, MO, 63110, USA
| | - Weilin Xu
- Intel Corporation, 2200 Mission College Blvd., Santa Clara, CA, 95052, USA
| | - Daniel Marcus
- Department of Radiology, Washington University School of Medicine, St. Louis, MO, 63110, USA
| | - Rivka R Colen
- Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler St., Houston, TX, 77030, USA
- Department of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, 1881 East Rd, 3SCRB4, Houston, TX, 77054, USA
- Hillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, PA, 15232, USA
- Department of Radiology, University of Pittsburgh, Pittsburgh, PA, 15213, USA
| | - Spyridon Bakas
- Center for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, Richards Medical Research Laboratories, Floor 7, 3700 Hamilton Walk, Philadelphia, PA, 19104, USA.
- Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Richards Medical Research Laboratories, Floor 7, 3700 Hamilton Walk, Philadelphia, PA, 19104, USA.
- Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Richards Medical Research Laboratories, Floor 7, 3700 Hamilton Walk, Philadelphia, PA, 19104, USA.
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Kysow K, Bratiotis C, Lauster N, Woody SR. How can cities tackle hoarding? Examining an intervention program bringing together fire and health authorities in Vancouver. Health Soc Care Community 2020; 28:1160-1169. [PMID: 31984612 DOI: 10.1111/hsc.12948] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Revised: 12/13/2019] [Accepted: 01/07/2020] [Indexed: 06/10/2023]
Abstract
Hoarded homes can pose a threat to public safety, with heightened risks of fire hazards, pest infestations and noxious odours in both the home and neighbouring dwellings. Communities across North America are responding to these public safety concerns through a harm reduction approach. This descriptive study explores the implementation and outcomes of the City of Vancouver's approach involving a partnership between fire prevention and public health. Data were collected from the team's 2016-2018 case tracking systems, consisting of health records and team intervention record, as well as notes taken from case briefing meetings. Study objectives included describing the intervention model, providing descriptive statistics on clients and their clutter volume, the interventions undertaken, and exploring predictors of clutter volume and case outcome through exploratory analyses. The sample included 82 cases involving severely hoarded conditions or more moderate hoarding conditions paired with additional client vulnerabilities (e.g. health conditions, frailty). Results from paired samples t-tests and regression analysis, suggest the Hoarding Action Response Team's (HART) model of a community-based intervention for hoarding was associated with clutter reduction and tenancy preservation. HART successfully maintained engagement with most clients, and most cases were closed within six home visits. Despite these successes, the team dealt with several barriers including client avoidance and limited resources. This paper provides guidance for communities who are working to develop a coordinated response to problems associated with hoarding and begins to establish expectations for what can be achieved through a community-based hoarding intervention model.
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Affiliation(s)
- Kate Kysow
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada
| | | | - Nathanael Lauster
- Department of Sociology, University of British Columbia, Vancouver, BC, Canada
| | - Sheila R Woody
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada
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Lin ES, Flanagan SK, Varga SM, Zaff JF, Margolius M. The Impact of Comprehensive Community Initiatives on Population-Level Child, Youth, and Family Outcomes: A Systematic Review. Am J Community Psychol 2020; 65:479-503. [PMID: 31556467 DOI: 10.1002/ajcp.12398] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Comprehensive community initiatives (CCIs) represent a popular method for creating systemic change, yet there is a dearth of evidence on their effectiveness (Zaff, Pufall Jones, Donlan, Lin, & Anderson, 2016). This article presents a systematic review of the evidence on the population-level impact of CCIs, focusing specifically on documented effects from studies using an experimental or quasi-experimental design. Of 1,947 articles identified through a database and hand search, 25 articles examining six different CCIs-most of which employed prevention science frameworks-met the review inclusion criteria. The results of this review show that CCIs can strengthen protective factors and reduce risk factors, delay initiation of and reduce substance use, and reduce the likelihood of, and delay engagement in, violent and/or delinquent behaviors. Impacts have been documented as soon as one year after initial intervention, and as early as 7th grade, with effects sustained as long as seven years post-intervention, and as late as a year post-high school. However, relative to the prevalence of CCIs as a practical intervention, the evidence base is small, potentially dated, and focused on a narrow set of outcomes and populations. Recommendations for interpreting the evidence base are discussed, including methodological limitations and implications for future work.
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Battaglia TA, Freund KM, Haas JS, Casanova N, Bak S, Cabral H, Freedman RA, White KB, Lemon SC. Translating research into practice: Protocol for a community-engaged, stepped wedge randomized trial to reduce disparities in breast cancer treatment through a regional patient navigation collaborative. Contemp Clin Trials 2020; 93:106007. [PMID: 32305457 PMCID: PMC7884078 DOI: 10.1016/j.cct.2020.106007] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Revised: 03/10/2020] [Accepted: 04/13/2020] [Indexed: 12/15/2022]
Abstract
BACKGROUND Racial and socioeconomic disparities in breast cancer mortality persist. In Boston, MA, Black, Non-Hispanic women and Medicaid-insured individuals are 2-3 times more likely to have delays in treatment compared to White or privately insured women. While evidence-based care coordination strategies for reducing delays exist, they are not systematically implemented across healthcare settings. METHODS Translating Research Into Practice (TRIP) utilizes community engaged research methods to address breast cancer care delivery disparities. Four Massachusetts Clinical and Translational Science Institute (CTSI) hubs collaborated with the Boston Breast Cancer Equity Coalition (The Coalition) to implement an evidence-based care coordination intervention for Boston residents at risk for delays in breast cancer care. The Coalition used a community-driven process to define the problem of care delivery disparities, identify the target population, and develop a rigorous pragmatic approach. We chose a cluster-randomized, stepped-wedge hybrid type I effectiveness-implementation study design. The intervention implements three evidence-based strategies: patient navigation services, a shared patient registry for use across academic medical centers, and a web-based social determinants of health platform to identify and address barriers to care. Primary clinical outcomes include time to first treatment and receipt of guideline-concordant treatment, which are captured through electronic health records abstraction. We will use mixed methods to collect the secondary implementation outcomes of acceptability, adoption/penetration, fidelity, sustainability and cost. CONCLUSION TRIP utilizes an innovative community-driven research strategy, focused on interdisciplinary collaborations, to design and implement a translational science study that aims to more efficiently integrate proven health services interventions into clinical practice.
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Affiliation(s)
- Tracy A Battaglia
- Women's Health Unit, Section of General Internal Medicine, Boston University School of Medicine, Boston, MA, United States of America.
| | - Karen M Freund
- Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, United States of America; Division of Internal Medicine and Primary Care, Department of Medicine, Tufts Medical Center, Boston, MA, United States of America; Tufts University School of Medicine, Boston, MA, United States of America
| | - Jennifer S Haas
- Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America
| | - Nicole Casanova
- Women's Health Unit, Section of General Internal Medicine, Boston University School of Medicine, Boston, MA, United States of America
| | - Sharon Bak
- Women's Health Unit, Section of General Internal Medicine, Boston University School of Medicine, Boston, MA, United States of America; Boston University School of Medicine, Boston, MA, United States of America
| | - Howard Cabral
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States of America
| | - Rachel A Freedman
- Department of Medical Oncology, Dana Farber Cancer Institute, Boston, MA, United States of America
| | - Karen Burns White
- Initiative to Eliminate Cancer Disparities, Dana Farber/Harvard Cancer Center, Boston, MA, United States of America
| | - Stephenie C Lemon
- Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, United States of America
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Sentilhes-Monkam A, Acina E, Chaker K, Hamad MM. [Partnership experience between an international and local NGO in Djibouti]. Sante Publique 2020; 31:723-733. [PMID: 32372611 DOI: 10.3917/spub.195.0723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
INTRODUCTION This article relates and analyzes a partnership between a local and an international organization settled both in Djibouti.Purpose of research: From the very beginning, ongoing observational and analytical assessment allowed for a complete study of the entire partnership process, from the initial replies to calls for projects to the completion of projects. RESULTS Results are given from two angles. A factual narrative of the partnership first illustrates some behaviors, and then the whole partnership is analyzed. CONCLUSIONS Authors conclude that structural, functional and ethical asymmetry between both structures, as they are not of equal weight. Although they may be willing to work together and are complementary, this asymmetry produces a force-ratio absolutely unsuitable for project enhancement. Moreover, it pleads for aid localization and for local structures dedicated to development.localization and for local structures dedicated to humane development.
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Chugh A, Bassi S, Nazar GP, Bhojani U, Alexander C, Lal P, Gupta PC, Arora M. Tobacco Industry Interference Index: Implementation of the World Health Organization's Framework Convention on Tobacco Control Article 5.3 in India. Asia Pac J Public Health 2020; 32:172-178. [PMID: 32396402 PMCID: PMC7612145 DOI: 10.1177/1010539520917793] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In India, there has been no attempt to measure the implementation of World Health Organization's Framework Convention on Tobacco Control Article 5.3, which provides guidelines to address tobacco industry interference (TII). This study draws on a desk review conducted to assess the frequency and severity of TIIs and the government's response, reported between January and December 2017. This study highlights that the government of India does not allow tobacco industry to participate in policy development. However, the industry interferes by collaborating with the government's allied organizations. The tobacco industry has diversified as food industry in India, and directly or indirectly supports various government programs, by investing through their corporate social responsibility schemes. In addition, there are limited legislative measures to allow transparency in adoption of Article 5.3 guidelines across the country. Hence, the findings of this study underscore an exigent need to adopt and implement Article 5.3 at the national level in India.
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Affiliation(s)
| | | | - Gaurang P Nazar
- HRIDAY, New Delhi, India
- Public Health Foundation of India, Gurugram, India
| | - Upendra Bhojani
- Institute of Public Health, Bangalore, India
- Durham University, Durham, UK
| | | | - Pranay Lal
- International Union Against Tuberculosis and Lung Disease, New Delhi, India
| | | | - Monika Arora
- HRIDAY, New Delhi, India
- Public Health Foundation of India, Gurugram, India
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Reynolds LW, Bruno AJ, Ross KM, Hall JM, Reynolds J. Bolstering Staff Wellbeing in Schools. J Sch Health 2020; 90:425-428. [PMID: 32142589 DOI: 10.1111/josh.12888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Revised: 10/05/2019] [Accepted: 01/25/2020] [Indexed: 06/10/2023]
Affiliation(s)
| | - Amy J Bruno
- Life Skills Psychological Services, 226 White Pine Village Drive, Cadillac, MI, 49601
| | - Kelsey M Ross
- Wayne County Schools, 212 North Court Street, P.O. Box 70, Wayne, WV, 25570
| | - Jamie M Hall
- Gordon & Associates, 5182 Blazer Parkway, Dublin, OH, 43016 (740)
| | - Josh Reynolds
- Whetstone High School, 4405 Scenic Drive, Columbus, OH, 43214
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Affiliation(s)
- Tippi K Mak
- Centre of Regulatory Excellence, Duke-NUS Medical School, Singapore
- SingHealth Duke-NUS Global Health Institute, Singapore
- Vaccine and Infectious Disease Organization-International Vaccine Centre, University of Saskatchewan, Canada
| | - John Cw Lim
- Centre of Regulatory Excellence, Duke-NUS Medical School, Singapore
- SingHealth Duke-NUS Global Health Institute, Singapore
| | | | | | - Emer Cooke
- Access to Medicines and Health Products Division, World Health Organization, Geneva, Switzerland
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Abstract
AbstractAimTo provide information on the mental health care system in Berlin, Germany.MethodUsing available data we report on the spectrum of mental health care services provided in Berlin, the number of professionalsworking in these sectors, funding arrangements, pathways into care, and user/carer involvement.ResultsThe health care system in Berlin consists of a network of inpatient, outpatient, ancillary, and rehabilitative facilities, all of which are meant to work in a synergistic fashion. However, although the individual treatment options are generally well-planned, there is still a lack of co-ordination between them. Currently, the entire network is threatened by cuts in state funding for ancillary and rehabilitative services, by further reductions in the number of hospital beds, and by insurance company cuts in prescription drug budgets, such as those used for atypical antipsychotics in outpatient care.DiscussionDespite many similarities with the situation in other European capitals, the system of mental health care in Berlin suffersfrom a variety of problems related to co-ordination and costs that are unique to the German capital.
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Affiliation(s)
- M Schouler-Ocak
- Department of Psychiatry, Charité University Medical Centre, Hedwig's Hospital, Berlin, Germany.
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Ortiz K, Nash J, Shea L, Oetzel J, Garoutte J, Sanchez-Youngman S, Wallerstein N. Partnerships, Processes, and Outcomes: A Health Equity-Focused Scoping Meta-Review of Community-Engaged Scholarship. Annu Rev Public Health 2020; 41:177-199. [PMID: 31922931 PMCID: PMC8095013 DOI: 10.1146/annurev-publhealth-040119-094220] [Citation(s) in RCA: 70] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
In recent decades, there has been remarkable growth in scholarship examining the usefulness of community-engaged research (CEnR) and community-based participatory research (CBPR) for eliminating health inequities.This article seeks to synthesize the extant literature of systematic reviews, scoping reviews, and other related reviews regarding the context, processes, and research designs and interventions underlying CEnR that optimize its effectiveness. Through a scoping review, we have utilized an empirically derived framework of CBPR to map this literature and identify key findings and priorities for future research. Our study found 100 reviews of CEnR that largely support the CBPR conceptual framework.
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Affiliation(s)
- Kasim Ortiz
- Department of Sociology and Criminology, University of New Mexico, Albuquerque, New Mexico 87131, USA;
- College of Population Health, Center for Participatory Research, University of New Mexico, Albuquerque, New Mexico 87131, USA
- Institute for the Study of "Race" and Social Justice, University of New Mexico, Albuquerque, New Mexico 87131, USA
| | - Jacob Nash
- College of Population Health, Center for Participatory Research, University of New Mexico, Albuquerque, New Mexico 87131, USA
| | - Logan Shea
- College of Population Health, Center for Participatory Research, University of New Mexico, Albuquerque, New Mexico 87131, USA
| | - John Oetzel
- Waikato Management School, University of Waikato, 3240 Hamilton, New Zealand
| | - Justin Garoutte
- College of Population Health, Center for Participatory Research, University of New Mexico, Albuquerque, New Mexico 87131, USA
- Behavioral Health Research Center of the Southwest (BHRCS), Pacific Institute for Research and Evaluation (PIRE), Albuquerque, New Mexico 87106, USA
| | - Shannon Sanchez-Youngman
- College of Population Health, Center for Participatory Research, University of New Mexico, Albuquerque, New Mexico 87131, USA
- Center for Social Policy, University of New Mexico, Albuquerque, New Mexico 87131, USA
- School of Public Administration, University of New Mexico, Albuquerque, New Mexico 87131, USA
| | - Nina Wallerstein
- College of Population Health, Center for Participatory Research, University of New Mexico, Albuquerque, New Mexico 87131, USA
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Van De Griend KM, Billings DL, Frongillo EA, Hilfinger Messias DK, Crockett AH, Covington-Kolb S. Core strategies, social processes, and contextual influences of early phases of implementation and statewide scale-up of group prenatal care in South Carolina. Eval Program Plann 2020; 79:101760. [PMID: 31835150 DOI: 10.1016/j.evalprogplan.2019.101760] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Revised: 09/23/2019] [Accepted: 11/20/2019] [Indexed: 06/10/2023]
Abstract
This mixed-methods process evaluation examined a state-wide, interagency collaborative in South Carolina that expanded CenteringPregnancy group prenatal care from two to five additional healthcare practices from 2012 to 2015. The evaluation focused on delineating core processes, strategies, and external contextual elements of group prenatal care implementation and scale-up. Success of this scale-up was enhanced by the effective use and creation of windows of opportunity, which allowed stakeholders to pursue actions consistent with their own values, at both state and organizational levels. Most importantly, strong political advocacy and state-level financial commitment for group prenatal care made it possible for clinics throughout South Carolina to begin providing CenteringPregnancy to their patients. Improved understanding of the processes involved in scaling-up pilot interventions may enhance the effectiveness and efficiency of future expansion efforts.
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Affiliation(s)
- Kristin M Van De Griend
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, United States.
| | - Deborah L Billings
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, United States
| | - Edward A Frongillo
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, United States
| | | | - Amy H Crockett
- University of South Carolina School of Medicine Greenville, Prisma Health-Upstate, United States
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Allison AE, Bryan B, Franklin SG, Schick LC. Academic health sciences libraries and affiliated hospitals: a conversation about licensing electronic resources. J Med Libr Assoc 2020; 108:242-252. [PMID: 32256235 PMCID: PMC7069815 DOI: 10.5195/jmla.2020.625] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Accepted: 08/01/2019] [Indexed: 11/20/2022] Open
Abstract
Objective: Libraries in academic health centers may license electronic resources for their affiliated hospitals, as well as for their academic institutions. This study examined the current practices of member libraries of the Association of Academic Health Sciences Libraries (AAHSL) that provide affiliated hospitals with access to electronic information resources and described the challenges that the libraries experienced in providing access to the affiliated hospitals.Methods: In September 2016, AAHSL library directors received an email with a link to an online survey.Results: By December 2016, representatives from 60 AAHSL libraries responded. Two-thirds of the responding libraries supplied online information resources to more than 1 hospital, and 75% of these libraries provided the hospitals with access both on site and remotely. Most (69%) libraries licensed the same resource for both the academic institution and the hospitals. Cost, license negotiation, and communication with hospital stakeholders were commonly reported challenges.Conclusion: Academic health sciences libraries with affiliated hospitals continue to grapple with licensing and cost issues. This article has been approved for the Medical Library Association’s Independent Reading Program.
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Affiliation(s)
- Amy E Allison
- Associate Dean for Library Services, Geisinger Commonwealth School of Medicine, Scranton, PA, , https://orcid.org/0000-0002-7552-1105
| | - Bonita Bryan
- Head of Collection Services, Woodruff Health Sciences Center Library, Emory University, Atlanta, GA,
| | - Sandra G Franklin
- Director, Woodruff Health Sciences Center Library, Emory University, Atlanta, GA,
| | - Leslie C Schick
- Senior Associate Dean and Director, Health Sciences Library, University of Cincinnati, Cincinnati, OH, , https://orcid.org/0000-0001-9352-2841
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Akers KG. Report from the Medical Library Association's InSight Initiative Summit 3: Bridge Building: What Bridges to Build and How. J Med Libr Assoc 2020; 108:321-333. [PMID: 32256244 PMCID: PMC7069829 DOI: 10.5195/jmla.2020.894] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Accepted: 11/01/2019] [Indexed: 11/20/2022] Open
Abstract
At the Medical Library Association’s Insight Initiative Summit 3, held June 12–13, 2019, academic and hospital librarians joined with publishing industry partners to identify vexing problems in publishing and accessing health sciences information. Through a mixture of panel discussions with health sciences faculty, librarians, and information providers; small-group problem-solving exercises; and large-group consensus-building activities, the summit program invited participants to appreciate each other’s viewpoints and propose a collaborative project leading to tangible outcomes that could ultimately benefit end users. Several vexing problems were identified, including poor communication and mistrust between librarians and publishers, complexities in product pricing structures and licenses, and users’ difficulties in accessing and using vetted information resources. However, librarians and publishers agreed that building a better shared understanding of users’ needs and behavior would be the most useful bridge toward regaining trust, establishing more effective partnerships, and designing and delivering quality information resources that are easily accessible and maximally useful to health sciences researchers, educators, clinicians, and students.
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Narang R, Deshmukh P, Sherwal BL. Moving beyond clinical medicine: Revised mandate for public health microbiology. Indian J Med Microbiol 2020; 38:137-138. [PMID: 32883924 DOI: 10.4103/ijmm.ijmm_20_302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Rahul Narang
- Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Pradeep Deshmukh
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
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