Implementation And Evaluation Of Community Based Strategies To Improve Rural Health

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Implementation and Evaluation of Community-based Strategies to Improve Rural Health

Author : Urshila Sriram
Publisher :
ISBN 13 :
Total Pages : 142 pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis Implementation and Evaluation of Community-based Strategies to Improve Rural Health by : Urshila Sriram

Download or read book Implementation and Evaluation of Community-based Strategies to Improve Rural Health written by Urshila Sriram and published by . This book was released on 2019 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rural populations, particularly women in rural areas, experience significant disparities in health outcomes relative to their urban counterparts. This is partly attributable to environmental conditions, including limited access to healthy foods and opportunities for physical activity. Although existing community-based programs have shown promise in changing women's health behaviors, few programs have simultaneously targeted environmental factors or focused on rural populations. Civic engagement - collective actions designed to identify and address issues of public concern - is a potential strategy for improving rural environments and health outcomes; however, evaluation of these civic engagement approaches has been limited. The overall objectives of this dissertation were to evaluate the implementation and effectiveness of rural civic engagement and health behavior change strategies. These objectives were achieved through mixed-methods evaluation of two rural community-based programs: Healthy Eating and Activity in Rural Towns (HEART) Club and Strong Hearts, Healthy Communities (SHHC). To assess the feasibility and effectiveness of the HEART Club civic engagement curriculum, we conducted a pilot-study in three rural Northeastern U.S. towns. Participants reported increased awareness of community needs and assets, and successfully leveraged existing resources to improve local physical activity opportunities. To evaluate the implementation of SHHC intervention components, we conducted a mixed-methods process evaluation in rural Montana and central New York. Overall, the SHHC program was well-received by rural participants and intervention components were delivered with high fidelity. Recommendations for improvement including increasing class length, allocating more time for nutrition education, and creating more opportunities for group discussion. A mixed-methods evaluation was also used to assess the implementation and effectiveness of the HEART Club curriculum within the context of SHHC. Intervention sites reported good fidelity to the HEART Club curriculum; however, group progress towards project benchmarks was highly variable. Although some groups approached the HEART Club process with enthusiasm, many participants wished to prioritize personal behavior change over civic engagement activities. Taken together, these results highlight both the potential and challenges associated with rural civic engagement and health behavior change interventions. Findings from this research have informed modifications to the HEART Club and SHHC programs for future dissemination efforts in rural communities.

Improving Health in the Community

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309055342
Total Pages : 497 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Improving Health in the Community by : Institute of Medicine

Download or read book Improving Health in the Community written by Institute of Medicine and published by National Academies Press. This book was released on 1997-05-21 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

Quality Through Collaboration

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309094399
Total Pages : 289 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Quality Through Collaboration by : Institute of Medicine

Download or read book Quality Through Collaboration written by Institute of Medicine and published by National Academies Press. This book was released on 2005-04-24 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.

Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Community-based Participatory Research

Author : United States. Agency for Healthcare Research and Quality
Publisher :
ISBN 13 :
Total Pages : 8 pages
Book Rating : 4.:/5 (572 download)

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Book Synopsis Community-based Participatory Research by : United States. Agency for Healthcare Research and Quality

Download or read book Community-based Participatory Research written by United States. Agency for Healthcare Research and Quality and published by . This book was released on 2004 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evaluation in Rural Communities

Author : Allyson Kelley
Publisher : Routledge
ISBN 13 : 0429857098
Total Pages : 198 pages
Book Rating : 4.4/5 (298 download)

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Book Synopsis Evaluation in Rural Communities by : Allyson Kelley

Download or read book Evaluation in Rural Communities written by Allyson Kelley and published by Routledge. This book was released on 2018-12-12 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: Does a program work? What is the value? How do we know? These are questions that keep evaluators up at night. Continued rural community funding, employment, health, and justice depend on our answers to these questions. For evaluators working in rural communities, the task is great, but the return is even greater. Now more than ever before, evaluators have an opportunity to impact social change in rural America. Beginning with an introduction of rural community evaluation, Evaluation in Rural Communities highlights the differences in approaches to evaluation in rural areas, supported by case studies that illustrate key themes and objectives. It explores a number of issues, including • sustainability • policy • cost–benefit analysis • rural community evaluation as a platform to support social change. In particular, readers will also learn how to overcome rural community challenges, such as limited resources, the digital divide, limited funding, lower employment and educational attainment, limited opportunities for social interactions, and the distrust of outsiders. Blending aspects of community-based participatory research, empowerment evaluation, and program evaluation methods, this book is an accessible yet nuanced guide that integrates critical thinking, problem solving, social and political contexts, and outcomes related to evidence-based evaluation.

Rural Populations and Health

Author : Richard Crosby
Publisher : John Wiley & Sons
ISBN 13 : 1118235487
Total Pages : 416 pages
Book Rating : 4.1/5 (182 download)

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Book Synopsis Rural Populations and Health by : Richard Crosby

Download or read book Rural Populations and Health written by Richard Crosby and published by John Wiley & Sons. This book was released on 2012-07-30 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health-related disparities remain a persistent, serious problem across the nation's more than 60 million rural residents. Rural Populations and Health provides an overview of the critical issues surrounding rural health and offers a strong theoretical and evidence-based rationale for rectifying rural health disparities in the United States. This edited collection includes a comprehensive examination of myriad issues in rural health and rural health care services, as well as a road map for reducing disparities, building capacity and collaboration, and applying prevention research in rural areas. This textbook offers a review of rural health systems in Colorado, Kentucky, Alabama, and Iowa, and features contributions from key leaders in rural public health throughout the United States. Rural Populations and Health examines vital health issues such as: Health assessment Strategies for building rural coalitions Promoting rural adolescent health Rural food disparities Promoting oral health in rural areas Physical activity in rural communities Preventing farm-related injuries Addressing mental health issues Cancer prevention and control in rural communities Reducing rural tobacco use Rural Populations and Health is an important resource for students, faculty, and researchers in public health, preventive medicine, public health nursing, social work, and sociology.

Challenges and Successes in Reducing Health Disparities

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030918570X
Total Pages : 210 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Challenges and Successes in Reducing Health Disparities by : Institute of Medicine

Download or read book Challenges and Successes in Reducing Health Disparities written by Institute of Medicine and published by National Academies Press. This book was released on 2008-06-13 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: In early 2007, the Institute of Medicine convened the Roundtable on Health Disparities to increase the visibility of racial and ethnic health disparities as a national problem, to further the development of programs and strategies to reduce disparities, to foster the emergence of leadership on this issue, and to track promising activities and developments in health care that could lead to dramatically reducing or eliminating disparities. The Roundtable's first workshop, Challenges and Successes in Reducing Health Disparities, was held in St. Louis, Missouri, on July 31, 2007, and examined (1) the importance of differences in life expectancy within the United States, (2) the reasons for those differences, and (3) the implications of this information for programs and policy makers.

Implementing a Community-based Approach to Strengthening Rural Health Services

Author : Bruce A. Amundson
Publisher :
ISBN 13 :
Total Pages : 51 pages
Book Rating : 4.:/5 (246 download)

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Book Synopsis Implementing a Community-based Approach to Strengthening Rural Health Services by : Bruce A. Amundson

Download or read book Implementing a Community-based Approach to Strengthening Rural Health Services written by Bruce A. Amundson and published by . This book was released on 1991 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Implementation Science to Address Health Disparities and Improve the Equitable Implementation of Proven Interventions

Author : Mechelle Sanders
Publisher : Frontiers Media SA
ISBN 13 : 283254357X
Total Pages : 144 pages
Book Rating : 4.8/5 (325 download)

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Book Synopsis Implementation Science to Address Health Disparities and Improve the Equitable Implementation of Proven Interventions by : Mechelle Sanders

Download or read book Implementation Science to Address Health Disparities and Improve the Equitable Implementation of Proven Interventions written by Mechelle Sanders and published by Frontiers Media SA. This book was released on 2024-02-08 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: As health research moves through the translation pipeline, some minoritized groups have been left behind. This gap in translation has worsened, and or become more apparent for many during the COVID-19 pandemic. Implementation science can help address this gap by guiding the equitable dissemination and implementation of health interventions, healthcare policies and practices. With significant research focus on implementation of proven health interventions, there is a tremendous opportunity to ensure all individuals have access to, and benefit from, lifesaving healthcare and health interventions.

Rural Health - Investment, Research and Implications

Author : Christian Rusangwa
Publisher : BoD – Books on Demand
ISBN 13 : 1837685983
Total Pages : 296 pages
Book Rating : 4.8/5 (376 download)

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Book Synopsis Rural Health - Investment, Research and Implications by : Christian Rusangwa

Download or read book Rural Health - Investment, Research and Implications written by Christian Rusangwa and published by BoD – Books on Demand. This book was released on 2023-11-15 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this eye-opening exploration, the authors bring together years of research, on-the-ground insights, and a vision for the future of rural health. Through engaging narratives, data-driven analysis, and thought-provoking case studies, this book sheds light on the critical issues that affect the well-being of millions living outside urban centers. Rural Health - Investment, Research and Implications is an essential read for healthcare professionals, policymakers, researchers, and anyone passionate about the well-being of rural communities. It offers a roadmap to a brighter, healthier future for those often left in the shadows, highlighting the immense potential of rural America and the transformative power of investment and research in shaping a more equitable healthcare landscape. Join the conversation, be part of the solution, and uncover the untapped potential of rural health. This book is a call to action for a healthier, more inclusive future for all.

Implementation Research in Health

Author : David H. Peters
Publisher : World Health Organization
ISBN 13 : 9241506210
Total Pages : 69 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Implementation Research in Health by : David H. Peters

Download or read book Implementation Research in Health written by David H. Peters and published by World Health Organization. This book was released on 2013 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interest in implementation research is growing, largely in recognition of the contribution it can make to maximizing the beneficial impact of health interventions. As a relatively new and, until recently, rather neglected field within the health sector, implementation research is something of an unknown quantity for many. There is therefore a need for greater clarity about what exactly implementation research is, and what it can offer. This Guide is designed to provide that clarity. Intended to support those conducting implementation research, those with responsibility for implementing programs, and those who have an interest in both, the Guide provides an introduction to basic implementation research concepts and language, briefly outlines what it involves, and describes the many opportunities that it presents. The main aim of the Guide is to boost implementation research capacity as well as demand for implementation research that is aligned with need, and that is of particular relevance to health systems in low- and middle-income countries (LMICs). Research on implementation requires the engagement of diverse stakeholders and multiple disciplines in order to address the complex implementation challenges they face. For this reason, the Guide is intended for a variety of actors who contribute to and/or are impacted by implementation research. This includes the decision-makers responsible for designing policies and managing programs whose decisions shape implementation and scale-up processes, as well as the practitioners and front-line workers who ultimately implement these decisions along with researchers from different disciplines who bring expertise in systematically collecting and analyzing information to inform implementation questions. The opening chapters (1-4) make the case for why implementation research is important to decision-making. They offer a workable definition of implementation research and illustrate the relevance of research to problems that are often considered to be simply administrative and provide examples of how such problems can be framed as implementation research questions. The early chapters also deal with the conduct of implementation research, emphasizing the importance of collaboration and discussing the role of implementers in the planning and designing of studies, the collection and analysis of data, as well as in the dissemination and use of results. The second half of the Guide (5-7) detail the various methods and study designs that can be used to carry out implementation research, and, using examples, illustrates the application of quantitative, qualitative, and mixed-method designs to answer complex questions related to implementation and scale-up. It offers guidance on conceptualizing an implementation research study from the identification of the problem, development of research questions, identification of implementation outcomes and variables, as well as the selection of the study design and methods while also addressing important questions of rigor.

Health care in rural America

Author :
Publisher : National Academies
ISBN 13 :
Total Pages : 542 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Health care in rural America by :

Download or read book Health care in rural America written by and published by National Academies. This book was released on 1990 with total page 542 pages. Available in PDF, EPUB and Kindle. Book excerpt:

An Integrated Framework for Assessing the Value of Community-Based Prevention

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309263573
Total Pages : 181 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis An Integrated Framework for Assessing the Value of Community-Based Prevention by : Institute of Medicine

Download or read book An Integrated Framework for Assessing the Value of Community-Based Prevention written by Institute of Medicine and published by National Academies Press. This book was released on 2012-11-29 with total page 181 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the past century the major causes of morbidity and mortality in the United States have shifted from those related to communicable diseases to those due to chronic diseases. Just as the major causes of morbidity and mortality have changed, so too has the understanding of health and what makes people healthy or ill. Research has documented the importance of the social determinants of health (for example, socioeconomic status and education) that affect health directly as well as through their impact on other health determinants such as risk factors. Targeting interventions toward the conditions associated with today's challenges to living a healthy life requires an increased emphasis on the factors that affect the current cause of morbidity and mortality, factors such as the social determinants of health. Many community-based prevention interventions target such conditions. Community-based prevention interventions offer three distinct strengths. First, because the intervention is implemented population-wide it is inclusive and not dependent on access to a health care system. Second, by directing strategies at an entire population an intervention can reach individuals at all levels of risk. And finally, some lifestyle and behavioral risk factors are shaped by conditions not under an individual's control. For example, encouraging an individual to eat healthy food when none is accessible undermines the potential for successful behavioral change. Community-based prevention interventions can be designed to affect environmental and social conditions that are out of the reach of clinical services. Four foundations - the California Endowment, the de Beaumont Foundation, the W.K. Kellogg Foundation, and the Robert Wood Johnson Foundation - asked the Institute of Medicine to convene an expert committee to develop a framework for assessing the value of community-based, non-clinical prevention policies and wellness strategies, especially those targeting the prevention of long-term, chronic diseases. The charge to the committee was to define community-based, non-clinical prevention policy and wellness strategies; define the value for community-based, non-clinical prevention policies and wellness strategies; and analyze current frameworks used to assess the value of community-based, non-clinical prevention policies and wellness strategies, including the methodologies and measures used and the short- and long-term impacts of such prevention policy and wellness strategies on health care spending and public health. An Integrated Framework for Assessing the Value of Community-Based Prevention summarizes the committee's findings.

Disease Control Priorities, Third Edition (Volume 2)

Author : Robert Black
Publisher : World Bank Publications
ISBN 13 : 1464803684
Total Pages : 419 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Disease Control Priorities, Third Edition (Volume 2) by : Robert Black

Download or read book Disease Control Priorities, Third Edition (Volume 2) written by Robert Black and published by World Bank Publications. This book was released on 2016-04-11 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264805907
Total Pages : 447 pages
Book Rating : 4.2/5 (648 download)

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Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD

Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Effective Strategies To Develop Rural Health Workforce In Low and Middle-Income Countries (LMICs)

Author : Belinda Gabrielle O’Sullivan
Publisher : Frontiers Media SA
ISBN 13 : 2889711145
Total Pages : 151 pages
Book Rating : 4.8/5 (897 download)

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Book Synopsis Effective Strategies To Develop Rural Health Workforce In Low and Middle-Income Countries (LMICs) by : Belinda Gabrielle O’Sullivan

Download or read book Effective Strategies To Develop Rural Health Workforce In Low and Middle-Income Countries (LMICs) written by Belinda Gabrielle O’Sullivan and published by Frontiers Media SA. This book was released on 2021-07-29 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: