Table 1.
Summary of publications included literature review.
| Citation | Partners or settings | Program or population of focus | Purpose with link to resource (if applicable | Number of people or entities | Region |
|---|---|---|---|---|---|
| (4) | Primary care providers | Adults at risk for cardiovascular disease (CVD) | Assess primary care providers' awareness of and referral to physical activity-related behavioral counseling services | 1256 primary care practitioners | United States |
| (5) | Physical therapy clinics | Older adults at risk for falls | Describe knowledge and characteristics of physical therapists and physical therapist assistants | 444 physical therapists | United States |
| (6) | Physical therapy clinics | Older adults | Assesses capacity of physical therapists to participate in CCLs with physical activity programs | 30 physical therapists | United States |
| (7) | Optometrists | Older adults | Examines the potential for optometrists' referrals to exercise programs | 42 optometry patients 268 optometrists |
Texas |
| (8) | Pharmacists | General population | Assess community pharmacists' involvement and interest in CCLs | 500 pharmacists | Ohio |
| (9) | Medical teaching centers | Persons facing food insecurity | Describes symbiotic relationship between nursing school and the regional food bank | n/a | Virginia |
| (10) | Small independent clinical practices, community health workers | Low-income, underserved patients | Describes practice facilitation to support community health worker integration in small, independently owned practices. | n/a | United States |
| (11) | Community Health Workers, Health Systems-Based Programs, Community Health Center-Based Programs, Provider-Based Programs, Queens Health Care System | General population | Introductory article in an issues dedicated to describing innovations in community-clinical linkages in various contexts across Hawai‘i. | n/a | Hawaii |
| (12) | Community health workers | Healthcare staff, community health staff | Describes educational programs as a solution to improve trust and rapport between health care and community health workers | n/a | Hawaii |
| (13) | Health care clinic, electronic health records | Clinic population | Describes integration of social determinants data into clinical care via electronic health records. | 3 local health care delivery systems | Hawaii |
| (14) | Community health workers | Latino/a populations | Describes a CCL intervention to improve emotional well-being led by community health workers | 189 participants | US-Mexico border |
| (15) | Community health workers | Underserved populations | Describes workforce development model to effectively connect communities with care | n/a | Maryland |
| (16) | Community health workers | Community health worker interventions using CCL models | Presents a scoping literature review, synthesizing evidence of community health workers in creating and sustaining CCLs aimed at improving individual health outcomes. | n/a | United States |
| (17) | Health care providers, Maternal Infant Health Program (MIHP) | Medicaid-Eligible Pregnant Women | Assesses operationalization of CCL linkage strategies effectiveness to improve MIHP participation and other service use. | 2 practice sites | Michigan |
| (18) | Public health agencies, clinical and community settings | Patients at risk for hypertension | Presents examples of agencies applying a framework after a learning collaborative | 31 state and territorial public health agencies | United States |
| (19) | Data systems, clinical and community settings | The Childhood Obesity Data Initiative (CODI) | Describes a participatory framework to enhance and implement changes in an existing distributed health data network (DHDN) infrastructure to support linkages across sectors and systems. | 3 health care systems, 2 community partners | Denver, Colorado |
| (20) | Pediatric practices | Children at high risk for obesity | Describes the creation of an online interactive community resources map | 11 parents, 5 community partners, 2 pediatricians 3 obesity-built environment experts | Eastern Massachusetts |
| (21) | The American Medical Association (AMA), YMCA of the USA | Medicare patients with pre-diabetes | Describes implementation, and evaluation of quality improvement strategies to increase routine screening, testing, and referral to diabetes prevention programs (DPPs) | 26 primary care practices and health systems | United States |
| (22) | Pediatric practices | Children in poverty | Narrative review of childhood poverty programs that use specific methods: co-design, community organizing, and community-engaged quality improvement | n/a | United States |
| (23) | Pediatric practices | Keeping Infants Nourished and Developing (KIND) | Describes the design, implementation, refinement, and evaluation of a collaborative intervention focused on food-insecure families with infants. | 1,042 families with infants | Cincinnati, Ohio |
| (24) | Academic-community partnership, Nursing students | Older adults, low-income housing communities | Describes partnership to develop high-impact community-based learning experiences to support personal health goal attainment. | n/a | North Carolina |
| (25) | Health care entities | Patients with food insecurity | Landscape assessment describing strategies for screening patients and connecting them to food resources | n/a | United States |
| (26) | Physical therapy clinics, YMCAs | Older adults, Physical Therapists Recommending Enhance®Fitness to Expand Reach (PT-REFER) |
Describes protocol to test an intervention focused on developing CCLs to increase referrals from physical therapy clinics to an evidence-based group exercise program | 20 YMCA associations | United States |
| (27) | Primary care practices, Community health workers, electronic health records | South Asians with uncontrolled diabetes | Describes the protocol for a multi-level, CCL intervention to improve glycemic control using electronic health records and community health workers | 886 individuals, 20 primary care practices | New York City |
| (28) | Community health workers, electronic health records | Latinos with chronic diseases, Linking Individual Needs to Community and Clinical Services (LINKS) | Presents protocol for community health worker-led CCLs to reduce chronic disease risk and promote emotional well-being through utilization of electronic health records | Estimated 250 participants | U.S.-Mexico border |
| (29) | Community organizations | Diabetes self-management education (DSME) | Document the landscape of DSME services in the state, focusing specifically on challenges and recommendations | 17 interviewees | Hawaii |
| (30) | Clinical and community settings | Patients with hypertension | Examines partnerships for blood pressure control, their facilitators and barriers, and ways public health departments can foster partnerships. | 41 staff members | Washington State |
| (31) | Physical therapy clinics, YMCAs | Older adults, Enhance®Fitness | Tested a capacity-building intervention that included a structured toolkit and technical-assistance calls intended to increase referrals to programs offered at YMCAs | 20 YMCA associations | United States |
| (32) | Academic-VA community clinical research partnerships | Veterans | Authors reflect on the challenges and rewards of implementing partnerships with the aim of assisting new VA investigators and VA collaborators. | n/a | California |
| (33) | Primary care practices | Patients with pre-diabetes, clinical-community linkages to prevent diabetes (CC-Link) study | Describes the development and implementation of an integrated framework to guide clinic-community linkages | 10 primary care practices | Indiana |
| (34) | Faith-community nurses, community organizations | Faith community health partnership | Case study reporting factors leading to the sustainability of a specific CCL | 18 individuals | California |
| (35) | YMCA of the USA | General population | Presents practices based on the experience of local YMCAs and YMCA of the USA in establishing clinic-to-community partnerships throughout the country that can influence clinical cost and quality measures. | n/a | United States |
| (36) | Evidence based programs | Prevention and wellness trust fund initiative | Social network analysis perspective to explore (a) the range of contributions made by CCL network members to support the delivery of preventive services and (b) influences on the ability of these partnerships to sustain service delivery | Social networks held within each of 9 partnerships | Massachusetts |
| (37) | Federally qualified health centers | Diabetes prevention and hypertension management | Case study to understand how FQHCs engaged community health workers, the types of CCLs the community health workers promoted, and the facilitators of and barriers to those linkages | 6 administrators/clinicians, 7 community health workers |
Hawaii |
| (38) | Cancer prevention and control research network (CPCRN), clinical and community settings | HPV vaccination | Describes evaluation of HPV-related CCLs (CCLs) to understand their components, processes, and outcomes to increase HPV vaccination. | 9 CCLs | United States |
| (39) | Federally qualified health centers, community organizations | Hypertension patients, underserved populations | Process evaluation of a case study where a community-based organization acted as an external facilitator, and employed a collaborative partnership model to catalyze implementation of evidence-based interventions in safety net settings. | 3 federally qualified health centers | Los Angeles, California |
| (40) | Health care providers | Healthcare systems | Synthesized expert views about how healthcare systems transform and partner to improve population health. Creates and illustrates a proposed model. | 9 organizations | United States |
| (41) | Clinical and community settings | Cancer patients | Describes reach, partnerships, products, benefits, and lessons learned from the community-based participatory research to reduce cancer health disparities | 25 community network programs | United States |
| (42) | Primary care practices, community organizations | Children, primary care clinical practices | Presents a roadmap to help structure primary care approaches to social determinants through the development of comprehensive and effective collaborations between the primary care setting and community partners | n/a | United States |
| (43) | Clinical and community settings | Prevention and wellness trust fund (PWTF) | Methods paper describing approach for evaluation of implementation of evidence-based prevention interventions by PWTF partnerships | 9 leadership interviews, 172 staff survey, 72 social network analysis, 24 staff interviews |
Massachusetts |
| (44) | Primary care practices, community organizations | General population | Guide on how community-based organizations can help link seniors with chronic disease management | n/a | United States |
| (45) | Aging and disability community-based organizations | Older adults and people with disabilities | Group of assessment tools designed to guide organizations through the process of successfully preparing, securing, and maintaining contracts with the health care sector | n/a | United States |
| (46) | Community-based organizations and their health system partners | High-need, high-cost patients | Return on Investment Calculator Tool designed to help plan sustainable financial arrangements to fund the delivery of social services |
n/a | United States |
| (47) | National meals on wheels | Older adults, homebound seniors | Report describing Meals on Wheels American's Medicare Advantage (MA) plan New service provides a home-delivered meal benefit in conjunction with other supportive services, and is financed through a Pay for Success (PFS) transaction |
n/a | United States |
| (48) | Health leads | General population | Essential Needs Roadmap Provides a group of resources providing guidance on implementing or scaling social health initiatives, including a section on community partnerships | n/a | United States |
| (50) | Center for healthcare strategies | Low-income and/or vulnerable populations. | Partnership Assessment Tool for Health (PATH) Tool created to help partnering organizations work together more effectively to maximize the impact of the partnership. | n/a | United States |
| (49) | National Counsel on Aging | Older adults | NCOA Partnership Assessment Tool Tool provides a method for assessing key areas of your network, including: partnership alignment, organization culture integration, network construction (infrastructure), defining responsibilities | n/a | United States |
| (51) | Safer care Victoria (government organization) | General population | Partnering in healthcare framework and self-assessment tool Tools developed to support practical strategies and partnerships between consumers and health services | n/a | Australia |
| (52) | Center for the advancement of collaborative strategies in health | General population | Partnership Self-Assessment Tool Questionnaire that partners can complete to examine the strengths and weakness of the partnership | n/a | Canada |
| (53) | Health sector entities | Disaster victims | Systematic review aimed to identify the components affecting collaboration of health sector in disasters | n/a | Worldwide |