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Integrating Evidence-Based Clinical and Community Strategies to Improve Health

  • Judith K. Ockene(corresponding author)
    ,
  • Elizabeth A. Edgerton
    ,
  • Steven M. Teutsch
    ,
  • Lucy N. Marion
    ,
  • Therese Miller
    ,
  • Janice L. Genevro
*Corresponding author for this work
  • University of Massachusetts Medical School
    ,
  • Agency for Healthcare Research and Quality
    ,
  • Merck
    ,
  • Biobehavioral Nursing
    ,
  • University of Michigan, Ann Arbor
    ,
  • University of California at Los Angeles
Scholary Output:
Contribution to journal
Article
 Peer-review

Sustainable Development Goals

  • SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well

Abstract

Multiple and diverse preventive strategies in clinical and community settings are necessary to improve health. This paper (1) introduces evidence-based recommendations from the U.S. Preventive Services Task Force sponsored by the Agency for Healthcare Research and Quality and the Community Task Force sponsored by the Centers for Disease Control and Prevention, (2) examines, using a social-ecologic model, the evidence-based strategies for use in clinical and community settings to address preventable health-related problems such as tobacco use and obesity, and (3) advocates for prioritization and integration of clinical and community preventive strategies in the planning of programs and policy development, calling for additional research to develop the strategies and systems needed to integrate them.

Publication Information

Output type

Scholary Output:
Contribution to journal
Article
 Peer-review

Original language

English (US)

Pages from-to (Number of pages)

Pages 244-252 (9 pages)

Journal (Volume, Issue Number)

American Journal of Preventive Medicine (Volume 32, Issue 3)

Publication milestones

  • Published - 03/2007

Publication status

Published - 03/2007

ISSN

0749-3797

Publication IDs

  • Scopus: 33846817345
  • PubMed: 17296474

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Publication metrics

Metrics

Fractional count
1
Fractional count
0.11
Fractional count
8
Fractional count
0.89
Fractional count
1
Fractional count
1
SciVal
citations
82
SciVal
FWCI
2.83
SciVal
Author count
9
SciVal
Paper percentile
94
SciVal
Top percentile
10
Scopus
citations
96, opens in new tab

PlumX, opens in new tab

Captures
105
Usage
76
Citation count
107
Mentions
1

Funding Details

Two established national expert panels, the U.S. Preventive Services Task Force (USPSTF) and the Community Task Force (CTF) (henceforth Task Forces), specifically recommend evidence-based preventive strategies in clinical and community settings, respectively, in order to reduce the preventable burden of disease. Their recommendations are made on the basis of rigorous review of research-generated evidence and provide essential information for selecting and prioritizing effective preventive strategies. Members of both Task Forces are nonfederal experts drawn from academia, state and local governments, and the private sector, and both Task Forces work closely with a range of federal and nonfederal experts in science, program, and policy. The USPSTF and CTF are convened and supported by the Agency for Healthcare Research and Quality and the Centers for Disease Control and Prevention, respectively. Although the MTCP did not set out to base its program on the recommendations of the USPSTF and the CTF, it did use a social-ecologic framework to map out the types of services needed (MTCP, unpublished document, 1992), and has contributed to the evidence base illustrating that complementary coordinated efforts are possible and that these efforts have beneficial effects. Other studies and programs also have demonstrated that such coordinated efforts are possible and beneficial, and can work. 6,26 Studies in progress funded by the Agency for Healthcare Research and Quality (AHRQ) and Robert Wood Johnson Foundation as part of the Prescription for Health program also are exploring the feasibility and effectiveness of linkages between clinical settings and community-based settings. 27
FundersFunding numbers
AHRQ
-
RWJF
-
AHRQ
-