Community Care Networks: Linking Vision to Outcomes for Community Health Improvement
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 ser...
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| Veröffentlicht in: | Medical care research and review 2003-12, Vol.60 (4_suppl), p.95S-129S |
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| container_end_page | 129S |
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| container_issue | 4_suppl |
| container_start_page | 95S |
| container_title | Medical care research and review |
| container_volume | 60 |
| creator | Conrad, Douglas A. Cave, Sarah H. Lucas, Martha Harville, Jennifer Shortell, Stephen M. Bazzoli, Gloria J. Hasnain-Wynia, Romana Sofaer, Shoshanna Alexander, Jeffrey A. Casey, Elizabeth Margolin, Frances |
| description | 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. |
| doi_str_mv | 10.1177/1077558703259096 |
| format | Article |
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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. 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Keys to outcome achievement appear to be (1) clearly focused intervention; (2) explicit, ongoing outcome measurement; and (3) strong integration of separate intervention components.</description><subject>Access</subject><subject>Community care</subject><subject>Community Health Services - organization & administration</subject><subject>Community Health Services - standards</subject><subject>Community Networks - organization & administration</subject><subject>Community Networks - standards</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Delivery of Health Care - standards</subject><subject>Health Status</subject><subject>Interagency collaboration</subject><subject>Networks</subject><subject>Organizational Objectives</subject><subject>Outcome and Process Assessment (Health Care) - standards</subject><subject>Program Evaluation - standards</subject><subject>Public-Private partnerships</subject><subject>Service delivery</subject><subject>United States</subject><subject>USA</subject><issn>1077-5587</issn><issn>1552-6801</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kMFLwzAUh4MoTqd3T5KTnqovTZO03qSoGwx3mV5L177Obk0zk1bZf2_GBgNBT3nwvt8vvI-QKwZ3jCl1z0ApIWIFPBQJJPKInDEhwkDGwI797NfBdj8g584tASAKY35KBiySsYo4OyOz1Gjdt3W3oWlukb5i923syj3QSd2u6nZB32tXm5Z2hk77rjAaHa2MpYfcCPOm-6BjvbbmCzW23QU5qfLG4eX-HZK356dZOgom05dx-jgJCi5FF4hESAVzIaEskUVJgqXiqOKIi6KKQ6hYXkVFwueFKP0pib-mwBjziIEMRQV8SG53vf7nzx5dl-naFdg0eYumd5niXIFMuPDkzb-kUIxtBXoQdmBhjXMWq2xta53bTcYg2zrPfjv3ket9dz_XWB4Ce8keCHaAyxeYLU1vW2_l78IfQtKIUQ</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>Conrad, Douglas A.</creator><creator>Cave, Sarah H.</creator><creator>Lucas, Martha</creator><creator>Harville, Jennifer</creator><creator>Shortell, Stephen M.</creator><creator>Bazzoli, Gloria J.</creator><creator>Hasnain-Wynia, Romana</creator><creator>Sofaer, Shoshanna</creator><creator>Alexander, Jeffrey A.</creator><creator>Casey, Elizabeth</creator><creator>Margolin, Frances</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20031201</creationdate><title>Community Care Networks: Linking Vision to Outcomes for Community Health Improvement</title><author>Conrad, Douglas A. ; Cave, Sarah H. ; Lucas, Martha ; Harville, Jennifer ; Shortell, Stephen M. ; Bazzoli, Gloria J. ; Hasnain-Wynia, Romana ; Sofaer, Shoshanna ; Alexander, Jeffrey A. ; Casey, Elizabeth ; Margolin, Frances</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-595670b560dde1499ed73e78435cf820f1af4c93bc5d1079077ce8ea410625f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Access</topic><topic>Community care</topic><topic>Community Health Services - organization & administration</topic><topic>Community Health Services - standards</topic><topic>Community Networks - organization & administration</topic><topic>Community Networks - standards</topic><topic>Delivery of Health Care - organization & administration</topic><topic>Delivery of Health Care - standards</topic><topic>Health Status</topic><topic>Interagency collaboration</topic><topic>Networks</topic><topic>Organizational Objectives</topic><topic>Outcome and Process Assessment (Health Care) - standards</topic><topic>Program Evaluation - standards</topic><topic>Public-Private partnerships</topic><topic>Service delivery</topic><topic>United States</topic><topic>USA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Conrad, Douglas A.</creatorcontrib><creatorcontrib>Cave, Sarah H.</creatorcontrib><creatorcontrib>Lucas, Martha</creatorcontrib><creatorcontrib>Harville, Jennifer</creatorcontrib><creatorcontrib>Shortell, Stephen M.</creatorcontrib><creatorcontrib>Bazzoli, Gloria J.</creatorcontrib><creatorcontrib>Hasnain-Wynia, Romana</creatorcontrib><creatorcontrib>Sofaer, Shoshanna</creatorcontrib><creatorcontrib>Alexander, Jeffrey A.</creatorcontrib><creatorcontrib>Casey, Elizabeth</creatorcontrib><creatorcontrib>Margolin, Frances</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Medical care research and review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Conrad, Douglas A.</au><au>Cave, Sarah H.</au><au>Lucas, Martha</au><au>Harville, Jennifer</au><au>Shortell, Stephen M.</au><au>Bazzoli, Gloria J.</au><au>Hasnain-Wynia, Romana</au><au>Sofaer, Shoshanna</au><au>Alexander, Jeffrey A.</au><au>Casey, Elizabeth</au><au>Margolin, Frances</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Community Care Networks: Linking Vision to Outcomes for Community Health Improvement</atitle><jtitle>Medical care research and review</jtitle><addtitle>Med Care Res Rev</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>60</volume><issue>4_suppl</issue><spage>95S</spage><epage>129S</epage><pages>95S-129S</pages><issn>1077-5587</issn><eissn>1552-6801</eissn><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). 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| subjects | Access Community care Community Health Services - organization & administration Community Health Services - standards Community Networks - organization & administration Community Networks - standards Delivery of Health Care - organization & administration Delivery of Health Care - standards Health Status Interagency collaboration Networks Organizational Objectives Outcome and Process Assessment (Health Care) - standards Program Evaluation - standards Public-Private partnerships Service delivery United States USA |
| title | Community Care Networks: Linking Vision to Outcomes for Community Health Improvement |
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