Evidence map›Paper›PMID 24050428›Full record

ArticleAmerican journal of preventive medicine2013

Clinical and community delivery systems for preventive care: an integration framework.

Alex H Krist, Douglas Shenson, Steven H Woolf, Cathy Bradley, Winston R Liaw, Stephen F Rothemich, Amy Slonim, William Benson, Lynda A Anderson

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  7. Article
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  10. Retention in Community Health Screening among Taiwanese Adults: A 9-Year Prospective Cohort Study.International journal of environmental research and public health · 2022
    Article
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  18. Ovarian Cancer Knowledge in Women and Providers Following Education with Inside Knowledge Campaign Materials.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Alex H KristDepartment of Family Medicine and Population Health (Krist, Woolf, Rothemich), Virginia Commonwealth University, Richmond. Electronic address: ahkrist@vcu.edu.
Douglas Shenson
Steven H Woolf
Cathy Bradley
Winston R Liaw
Stephen F Rothemich
Amy Slonim
William Benson
Lynda A Anderson

Funding

National Organizations For Chronic Disease Prevention and Health PromotionU58DP002759 · DP · ASSN/ST/TERR/CHRONIC DIS/PROG/ DIRECTORS · PI ROBITSCHER, JOHN W · 2010 to 2014
$35.7M
Intramural CDC HHS CC999999NCCDPHP CDC HHS U58 DP002759NCCDPHP CDC HHS U58DP002759-01
6 · The paper itself

Abstract

Although clinical preventive services (CPS)-screening tests, immunizations, health behavior counseling, and preventive medications-can save lives, Americans receive only half of recommended services. This "prevention gap," if closed, could substantially reduce morbidity and mortality. Opportunities to improve delivery of CPS exist in both clinical and community settings, but these activities are rarely coordinated across these settings, resulting in inefficiencies and attenuated benefits. Through a literature review, semi-structured interviews with 50 national experts, field observations of 53 successful programs, and a national stakeholder meeting, a framework to fully integrate CPS delivery across clinical and community care delivery systems was developed. The framework identifies the necessary participants, their role in care delivery, and the infrastructure, support, and policies necessary to ensure success. Essential stakeholders in integration include clinicians; community members and organizations; spanning personnel and infrastructure; national, state, and local leadership; and funders and purchasers. Spanning personnel and infrastructure are essential to bring clinicians and communities together and to help patients navigate across care settings. The specifics of clinical-community integrations vary depending on the services addressed and the local context. Although broad establishment of effective clinical-community integrations will require substantial changes, existing clinical and community models provide an important starting point. The key policies and elements of the framework are often already in place or easily identified. The larger challenge is for stakeholders to recognize how integration serves their mutual interests and how it can be financed and sustained over time.

Indexed as

Systems IntegrationCommunity Health ServicesCommunity ParticipationCooperative BehaviorHumansLeadershipPreventive Health Services

Identifiers

PMID24050428
PMCPMC4544711

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.