Articles: community-health-services.
-
Randomized Controlled Trial Multicenter Study
Evidence based community mobilization for dengue prevention in Nicaragua and Mexico (Camino Verde, the Green Way): cluster randomized controlled trial.
To test whether community mobilization adds effectiveness to conventional dengue control. ⋯ Evidence based community mobilization can add effectiveness to dengue vector control. Each site implementing the intervention in its own way has the advantage of local customization and strong community engagement.
-
Multicenter Study
The educational impact of the Specialty Care Access Network-Extension of Community Healthcare Outcomes program.
With the aging hepatitis C cohort and increasing prevalence of fatty liver disease, the burden on primary care providers (PCPs) to care for patients with liver disease is growing. In response, the Veterans Administration implemented initiatives for primary care-specialty referral to increase PCP competency in complex disease management. The Specialty Care Access Network-Extension of Community Healthcare Outcomes (SCAN-ECHO) program initiative was designed to transfer subspecialty knowledge to PCPs through case-based distance learning combined with real-time consultation. There is limited information regarding the initiative's ability to engage PCPs to learn and influence their practice. ⋯ This study shows that the SCAN-ECHO videoconferencing program between PCPs and specialists can educate providers in the delivery of specialty care from a distance and potentially improve healthcare delivery.
-
Randomized Controlled Trial Multicenter Study Pragmatic Clinical Trial
Cost-effectiveness of telecare for people with social care needs: the Whole Systems Demonstrator cluster randomised trial.
to examine the costs and cost-effectiveness of 'second-generation' telecare, in addition to standard support and care that could include 'first-generation' forms of telecare, compared with standard support and care that could include 'first-generation' forms of telecare. ⋯ while QALY gain in the intervention group was similar to that for controls, social and health services costs were higher. Second-generation telecare did not appear to be a cost-effective addition to usual care, assuming a commonly accepted willingness to pay for QALYs.
-
J Epidemiol Glob Health · Sep 2014
Multicenter StudyMicroResearch: finding sustainable local health solutions in East Africa through small local research studies.
Sub-Saharan African countries have urged grassroots input to improve research capacity. In East Africa, MicroResearch is fostering local ability to find sustainable solutions for community health problems. At 5years, the following reports its progress. ⋯ MicroResearch helped build local capacity for community-directed interdisciplinary health research.
-
J Am Pharm Assoc (2003) · Sep 2014
Multicenter Study Observational StudyImproving outcomes for diverse populations disproportionately affected by diabetes: final results of Project IMPACT: Diabetes.
To improve key indicators of diabetes care by expanding a proven community-based model of care throughout high-risk areas in the United States. ⋯ Diabetes results show significant improvement in patients' clinical outcomes and demonstrate that all patients, even those with tremendous barriers to appropriate diabetes care, benefit from patient-centered, interdisciplinary health care teams that include pharmacists.