Community care networks: Linking vision to outcomes for community health improvement
Abstract
This article examines the relationship between progress toward the Community Care Network (CCN) vision and “intermediate outcomes” of 25 community-based health partnerships (CCNs). Specific components of the CCN vision were community accountability, community health focus, creation of a seamless service continuum, and managing under limited resources. Four community outcome dimensions were evaluated: access, cost, health, and quality of service delivery integration. Overall progress toward theCCN vision was significantly positively related to average intermediate outcome score and most highly correlated with two dimensions: access and quality of service integration. Qualitative analysis suggests that CCN sites accomplished the most along two dimensions—access and health—noting that intermediate health outcomes generally were in health assessment and information rather than actual health status improvement. Keys to outcome achievement appear to be (1) clearly focused intervention; (2) explicit, ongoing outcome measurement; and (3) strong integration of separate intervention components.
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Sustainability is affected by how early the supportive network begins.
“Current theories suggest that sustainability is affected not only by which communities in a network are represented in a supportive network, but also how early this network begins, whether there is a “champion” and/or whether the network represents the power structures in organizations who have the capacity to address long term financial and administrative viability [47, 48].”
From Social Network Analysis for Program Implementation (2015) · cites this paper as [48]
Sustainability is affected by whether there is a champion.
“Current theories suggest that sustainability is affected not only by which communities in a network are represented in a supportive network, but also how early this network begins, whether there is a “champion” and/or whether the network represents the power structures in organizations who have the capacity to address long term financial and administrative viability [47, 48].”
From Social Network Analysis for Program Implementation (2015) · cites this paper as [48]
Sustainability is affected by which communities in a network are represented in a supportive network.
“Current theories suggest that sustainability is affected not only by which communities in a network are represented in a supportive network, but also how early this network begins, whether there is a “champion” and/or whether the network represents the power structures in organizations who have the capacity to address long term financial and administrative viability [47, 48].”
From Social Network Analysis for Program Implementation (2015) · cites this paper as [48]
Sustainability is affected by whether the network represents the power structures in organizations who have the capacity to address long term financial and administrative viability.
“Current theories suggest that sustainability is affected not only by which communities in a network are represented in a supportive network, but also how early this network begins, whether there is a “champion” and/or whether the network represents the power structures in organizations who have the capacity to address long term financial and administrative viability [47, 48].”
From Social Network Analysis for Program Implementation (2015) · cites this paper as [48]
Cites
Puska, P., Nissinen, A. M., Tuomilehto, J. O., Salonen, J. T., Koskela, K., McAlister, A. L., Kottke, T. E., Maccoby, N., & Farquhar, J. W. (1985) · Annual Review of Public Health · doi:10.1146/annurev.pu.06.050185.001051 · Cited by 461 · see citing works
Mitchell, S. M., & Shortell, S. M. (2000) · Milbank Quarterly · doi:10.1111/1468-0009.00170 · Cited by 394 · see citing works
Self-citationTHE STANFORD FIVE-CITY PROJECT: DESIGN AND METHODS
Farquhar, J. W., Fortmann, S. P., Maccoby, N., Haskell, W. L., Williams, P. T., Flora, J. A., Taylor, C. B., Brown, B. W., Solomon, D. S., & Sb, H. (1985) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114104 · Cited by 359 · see citing works
Evaluating Partnerships for Community Health Improvement: Tracking the Footprints
Shortell, S. M., Zukoski, A. P., Alexander, J. A., Bazzoli, G. J., Conrad, D. A., Hasnain‐Wynia, R., Sofaer, S., Chan, B. Y., Casey, E., & Margolin, F. S. (2002) · Journal of Health Politics Policy and Law · doi:10.1215/03616878-27-1-49 · Cited by 219 · see citing works
Self-citationFighting back against substance abuse
Hallfors, D. D., Cho, H., Livert, D. E., & Kadushin, C. (2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00511-1 · Cited by 198 · see citing works
Wagner, E. H., Wickizer, T. M., Cheadle, A. D., et al. (2000) · PubMed · Cited by 51 · see citing works
Wickizer, T. M., Wagner, E. H., Cheadle, A. D., Pearson, D. C., Beery, W. L., Maeser, J., Psaty, B. M., VonKorff, M., Koepsell, T. D., Diehr, P. H., et al. (1998) · Milbank Quarterly · doi:10.1111/1468-0009.00081 · Cited by 45 · see citing works
Constraining Costs At The Community Level: A Critique
Brown, L. D., & McLaughlin, C. (1990) · Health Affairs · doi:10.1377/hlthaff.9.4.5 · Cited by 20 · see citing works
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Valente, T. W., Palinkas, L. A., Czaja, S., Chu, K.-H., & Brown, C. H. (2015) · PLOS ONE · doi:10.1371/journal.pone.0131712 · Cited by 332 · see citing works
- Authors
- Conrad, D. A., Cave, S. H., Lucas, M., Harville, J., Shortell, S. M., Bazzoli, G. J., Hasnain-Wynia, R., Sofaer, S., Alexander, J. A., Casey, E., & Margolin, F.
- Affiliations
- University of Washington (US)
- Peace Health
- Texas Health Resources
- Swedish Medical Center (US)
- University of California, Berkeley (US)
- Virginia Commonwealth University (US)
- Health Research and Educational Trust
- Baruch College (US)
- University of Michigan (US)
- SRI International (US)
- Health Research and Educational Trust (US)
- Venue
- Medical Care Research and Review
- Publisher
- SAGE Publications
- Published
- 2003-12
- Volume
- 60
- Issue
- 4_suppl
- Pages
- 95S-129S
- ISSN
- 1077-5587 (ISSN-L)
- 1552-6801
- OpenAlex
- W2132570370
- Cited by
- 48
- References
- 8
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 9 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 5 · 2015: 4 · 2014: 1 · 2013: 2 · 2012: 2
- FWCI
- 2.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Care Research and Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- community care networks, intermediate outcomes, community accountability, health care access, health care costs, quality of service delivery, health improvement, outcome measurement, integrated care
- MeSH terms
- Community Health Services, Delivery of Health Care, Health Status, Organizational Objectives, Outcome and Process Assessment, Health Care, United States, Program Evaluation, Community Networks
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