RTI International, Research Triangle Park, NC 27709-2194, USA.
Am J Public Health. 2012 Jun;102 Suppl 3(Suppl 3):S375-82. doi: 10.2105/AJPH.2012.300692.
We conducted a literature review and environmental scan to develop a framework for interventions that utilize linkages between clinical practices and community organizations for the delivery of preventive services, and to identify and characterize these efforts.
We searched 4 major health services and social science electronic databases and conducted an Internet search to identify examples of linkage interventions in the areas of tobacco cessation, obesity, nutrition, and physical activity.
We identified 49 interventions, of which 18 examples described their evaluation methods or reported any intervention outcomes. Few conducted evaluations that were rigorous enough to capture changes in intermediate or long-term health outcomes. Outcomes in these evaluations were primarily patient-focused and did not include organizational or linkage characteristics.
An attractive option to increase the delivery of preventive services is to link primary care practices to community organizations; evidence is not yet conclusive, however, that such linkage interventions are effective. Findings provide recommendations to researchers and organizations that fund research, and call for a framework and metrics to study linkage interventions.
我们进行了文献回顾和环境扫描，以制定一个框架，用于利用临床实践和社区组织之间的联系来提供预防服务的干预措施，并确定和描述这些努力。
我们搜索了 4 个主要的健康服务和社会科学电子数据库，并进行了互联网搜索，以确定在戒烟、肥胖、营养和身体活动领域的联系干预措施的例子。
我们确定了 49 项干预措施，其中 18 项描述了它们的评估方法或报告了任何干预结果。很少有进行足够严格的评估来捕捉中期或长期健康结果的变化。这些评估中的结果主要是针对患者的，不包括组织或联系特征。
将初级保健实践与社区组织联系起来是增加预防服务提供的一个有吸引力的选择；然而，目前还没有确凿的证据表明这种联系干预是有效的。研究结果为研究人员和资助研究的组织提供了建议，并呼吁建立一个框架和指标来研究联系干预措施。
