Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Community Networks”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 919 records · Page 51Linked to original sources
PubMed2004

The role of occupational therapy in providing person-centred transition services: implications for school-based practice.

Two case study vignettes are presented to demonstrate the potential role of occupational therapy in the provision of person-centred transition services. Related to the study, the five aspects of performance described by the American Occupational Therapy Association (AOTA): performance skills, performance patterns, client factors, activity demands, and contexts, are examined. Based on the results of the study, the following suggestions are offered for incorporating person-centred principles into school-based occupational therapy service delivery. These are: (1) increasing the number and variety of community places students know and use; (2) assisting students in developing and expressing autonomy in both everyday and life-defining matters; (3) building experiences and supports so students can perform functional, age-appropriate, and meaningful activities; (4) ensuring that students develop valued roles and places in community life; and (5) creating access for students to the social network of community and ensuring the development of personal relationships and friendships. Since the transition experiences of only two students are presented in an anecdotal fashion rather than through more formal quantitative or qualitative research the results are limited and further research is recommended.

Adult↗
PubMed1990

The future of children is now.

A community resource network, Annie Sullivan Enterprises, Inc., is described as a system for community integration of children and youth who have developmental disabilities and mental health problems. A brokerage model is espoused for accessing and delivering services. The model is based on Hobb's (1975) view that organization of human services must be based primarily on the client's needs rather than on the needs of the service agency. Lessons and recommendations based upon 7 years of successful operation are described.

Autistic Disorder↗
PubMed2006

[Results of a comparison: active versus passive reporting in cases of community acquired pneumonia. Results of the German Competence Network CAPNETZ].

INTRODUCTION: Since 2002, the German competence network CAPNETZ has been collecting data from inpatients and outpatients with community acquired pneumonia (CAP) at eight local clinical centres. Contrary to the literature reports, the proportion of outpatients in CAPNETZ averages out at 28 %. Therefore, this study determines whether an active reporting system can increase the number of cases reported in medical practices. METHOD: In ten medical practices in Lübeck, the passive reporting system was changed to an active reporting system consisting of a) a weekly announcement of CAP cases including negative reporting, b) a study nurse who was responsible for the reporting, c) additional payment, d) a telephone call after two weeks by absent announcements and e) incentives like benchmarking or additional information. The number of the reported cases between the active reporting period (2004) and the same period in the year before was recorded. RESULTS: The number of reported cases increased in eight of the ten medical practices. Overall 72 CAP cases were reported, 33 % more than in the period of passive reporting. The number of patients encompassed in CAPNETZ increased from 17 to 34. CONCLUSION: We did not find a comparable increase of CAP cases either in Lübeck overall (including inpatients) or in all the local clinical centres together. Thus, it is assumed that the increase of reported cases depends on the methodical effect.

Community Networks↗
PubMedDate not supplied

Practice patterns of family physicians in practice-based research networks: a report from ASPN. Ambulatory Sentinel Pratice Network.

BACKGROUND: Practice-based research networks are growing and undertaking larger and more complex studies to inform the clinical practice of family physicians. We describe a study that compares clinical behaviors of physicians in the Ambulatory Sentinel Practice Network (ASPN), a large national practice-based research network, with those from the National Ambulatory Medical Care Survey (NAMCS). METHODS: A survey, replicating NAMCS, was conducted among 129 family physician members of ASPN. Nested logistic regression was used to determine which services could predict ASPN membership after adjustment for common and easily observed patient and physician characteristics. RESULTS: Of 20 specific patient services, only 4 were predictive of membership in ASPN. Of these 4, 2 were screening or diagnostic services; ASPN physicians were 1.18 times more likely to obtain a blood pressure measurement and 0.60 times as likely to order a culture for streptococcal pharyngitis. ASPN physicians were 2.30 times more likely to provide family planning counseling and 1.66 times more likely to provide smoking cessation counseling after adjusting for patient smoking status. CONCLUSIONS: We conclude that there are minimal differences in the practice patterns of family physicians participating in a large national practice-based research network and those included in the probability sample of NAMCS. Additional work is needed to examine further those characteristics of the phenomena observed in practice-based research network research that might affect generalizability of results to the larger community of practicing family physicians.

Community Networks↗
PubMed2003

Evaluating the effectiveness of community health partnerships: a stakeholder accountability approach.

Community health partnerships (CHPs) are promoted as effective cooperative interorganizational relationships to improve community health status while conserving resources. However, relatively little is known about the effectiveness of these partnerships in achieving their goals. Using concepts from a network effectiveness framework (Provan and Milward, 2001) and a network accountability framework (Gamm, 1998), the authors propose that successful CHPs are those that are effective in multiple levels (community, network, organization/particpants) and/or accountability dimensions (political, commercial, clinical/patient, and community). The combined frameworks serve to identify a number of community health stakeholders and associated interests that vary according to accountability dimensions to which CHPs respond. Using survey data from over 400 participants in 25 Community Care Networks, the authors assess the usefulness of the conceptual framework in evaluating CHP effectiveness. The results suggest that CHP participants recognize three different levels of analysis in their evaluation of network effectiveness: community, network, and organization/participant. Furthermore, the results show that respondents distinguish between two different organization/participant benefits: enabling and client services. While respondents rated the intangible resources or enabling benefits (e.g., legitimacy and learning) of partnership participation most highly, client services resulting from CHP participation (e.g., client services and referrals) received the lowest ratings. Community benefit (e.g., improving community health status) and network effectiveness (e.g., ability to provide efficient, high quality health and human services) received ratings that fall between the enabling and client services. Given the relatively good scores (above 60%) received by CHPs on all four effectiveness dimensions considered here, it appears that the majority of respondents find at least some evidence of network effectiveness across all three levels of network effectiveness and all four dimensions of accountability.

Community Health Planning↗
PubMed1993

Superfund and one community program.

The U.S. Environmental Protection Agency--Region II conducted a pilot program in risk communication and notification of hazardous waste information at a Superfund site in Toms River, New Jersey. The program was designed to assess the levels of awareness and concern among local citizens and to provide accurate information about health risks associated with potential exposure to environmental contaminants. The purpose of this program was to develop linkages among the community; local, state, and federal governments; industry; health professionals; and educators in dealing with environmental problems. A Community Leaders Network was formed and became actively involved in the program. Following a community needs assessment for risk information, a series of fact sheets was developed, pretested, disseminated, and evaluated. The analysis of the program highlights the important lesson of being able to respond to the specific changing dynamics of the community and offers guidelines useful for risk communication in many communities.

Chemical Industry↗