Mor Kyla, Hobor George, Riccardo Jessica, Robinson Melody
Louisiana Public Health Institute, New Orleans, Louisiana.
J Public Health Manag Pract. 2017 Nov/Dec;23 Suppl 6 Suppl, Gulf Region Health Outreach Program:S47-S53. doi: 10.1097/PHH.0000000000000651.
The Community-Centered Health Home (CCHH) model, developed by Prevention Institute, calls on health care organizations to contribute to improvements in community conditions that influence health such as employment or housing. The Louisiana Public Health Institute designed the first demonstration of CCHH and worked with 5 community health centers in the Gulf South to implement the model over a 2-year period. With support of funding and technical assistance, health centers and their community partners pursued a range of data collection, analysis, and community prevention activities. This article discusses the opportunities and challenges for replicating CCHH as a framework for how health care can respond to upstream determinants of health that affect the entire community. Further implementation efforts that address some of the challenges during this demonstration are needed to learn more about successful implementation and impact on population health.
由预防研究所开发的以社区为中心的健康之家（CCHH）模式，呼吁医疗保健组织为改善影响健康的社区条件做出贡献，如就业或住房。路易斯安那州公共卫生研究所设计了CCHH的首个示范项目，并与墨西哥湾南部的5个社区卫生中心合作，在两年时间内实施该模式。在资金和技术援助的支持下，卫生中心及其社区伙伴开展了一系列数据收集、分析和社区预防活动。本文讨论了将CCHH作为医疗保健应对影响整个社区的健康上游决定因素的框架进行推广的机遇和挑战。需要进一步开展实施工作，解决此次示范过程中的一些挑战，以便更多地了解成功实施情况及其对人群健康的影响。
