Abstract
OBJECTIVES: In this report, the authors present a representative case of the implementation of community assessment and the subsequent application of findings by a large, vertically integrated health care system. METHODS: Geographic information systems technology was used to access and analyze secondary data for a geographically defined community. Primary data included a community survey and asset maps. RESULTS: In this case presentation, information has been collected on demographics, prevalent health problems, access to health care, citizens' perceptions, and community assets. The assessment has been used to plan services for a new health center and to engage community members in health promotion interventions. CONCLUSIONS: Geographically focused assessments help target specific community needs and promote community participation. This project provides a practical application for integrating aspects of medicine and public health.
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- Bindman A. B., Grumbach K., Osmond D., Komaromy M., Vranizan K., Lurie N., Billings J., Stewart A. Preventable hospitalizations and access to health care. JAMA. 1995 Jul 26;274(4):305–311. [PubMed] [Google Scholar]
- Boumbulian P. J., Anderson R. J. Survival through community services: from sick care to health care. Health Manage Q. 1994;16(4):17–23. [PubMed] [Google Scholar]
- Clarke K. C., McLafferty S. L., Tempalski B. J. On epidemiology and geographic information systems: a review and discussion of future directions. Emerg Infect Dis. 1996 Apr-Jun;2(2):85–92. doi: 10.3201/eid0202.960202. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cowen M. E., Bannister M., Shellenberger R., Tilden R. A guide for planning community-oriented health care: the health sector resource allocation model. Med Care. 1996 Mar;34(3):264–279. doi: 10.1097/00005650-199603000-00006. [DOI] [PubMed] [Google Scholar]
- Devasundaram J. K., Rohn D., Dwyer D. M., Israel E. A geographic information systems application for disease surveillance. Am J Public Health. 1998 Sep;88(9):1406–1407. doi: 10.2105/ajph.88.9.1406-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Idali Torres M. Assessing health in an urban neighborhood: community process, data results and implications for practice. J Community Health. 1998 Jun;23(3):211–226. doi: 10.1023/a:1018720515644. [DOI] [PubMed] [Google Scholar]
- Keener S. R., Baker J. W., Mays G. P. Providing public health services through an integrated delivery system. Qual Manag Health Care. 1997 Winter;5(2):27–34. doi: 10.1097/00019514-199705020-00003. [DOI] [PubMed] [Google Scholar]
- Khan O. A. Geographic information systems. Am J Public Health. 1999 Jul;89(7):1125–1125. doi: 10.2105/ajph.89.7.1125. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mettee T. M., Martin K. B., Williams R. L. Tools for community-oriented primary care: a process for linking practice and community data. J Am Board Fam Pract. 1998 Jan-Feb;11(1):28–33. doi: 10.3122/15572625-11-1-28. [DOI] [PubMed] [Google Scholar]
- Smith D. R., Anderson R. J. Community-responsive medicine: a call for a new academic discipline. J Health Care Poor Underserved. 1990 Fall;1(2):219–228. doi: 10.1353/hpu.2010.0236. [DOI] [PubMed] [Google Scholar]
- Taylor B. R., Haley D. The use of household surveys in community-oriented primary care health needs assessments. Fam Med. 1996 Jun;28(6):415–421. [PubMed] [Google Scholar]
- Williams R. L., Flocke S. A., Zyzanski S. J., Mettee T. M., Martin K. B. A practical tool for community-oriented primary care community diagnosis using a personal computer. Fam Med. 1995 Jan;27(1):39–43. [PubMed] [Google Scholar]