Lemon Stephenie C, Zapka Jane G, Estabrook Barbara, Benjamin Evan
Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA.
Am J Public Health. 2006 Apr;96(4):626-8. doi: 10.2105/AJPH.2004.057976. Epub 2006 Jan 31.
Community health centers (CHCs) are important settings for research aimed at reducing health disparities. However, CHCs pose many challenges to research at patient, provider, and system levels. We summarized lessons learned from a multimethod, formative study to develop intervention strategies for improving colorectal cancer screening in CHCs, and make recommendations for future research. The call for research in "real world" settings such as CHCs must be matched with greater understanding of the challenges, as well as the resources to meet those challenges.
社区卫生中心(CHCs)是旨在减少健康差距的研究的重要场所。然而,社区卫生中心在患者、提供者和系统层面给研究带来了许多挑战。我们总结了从一项多方法的形成性研究中吸取的经验教训,该研究旨在制定改善社区卫生中心结直肠癌筛查的干预策略,并为未来的研究提出建议。在诸如社区卫生中心这样的“现实世界”环境中开展研究的呼声,必须与对挑战以及应对这些挑战所需资源的更深入理解相匹配。