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Medical Care Research and Review, Vol. 60, No. 4 suppl, 95S-129S (2003)
DOI: 10.1177/1077558703259096

Community Care Networks: Linking Vision to Outcomes for Community Health Improvement

Douglas A. Conrad

University of Washington

Sarah H. Cave

Peace Health

Martha Lucas

Texas Health Resources

Jennifer Harville

Swedish Medical Center

Stephen M. Shortell

University of California, Berkeley

Gloria J. Bazzoli

Virginia Commonwealth University

Romana Hasnain-Wynia

Health Research and Educational Trust

Shoshanna Sofaer

Baruch College

Jeffrey A. Alexander

University of Michigan

Elizabeth Casey

SRI International

Frances Margolin

Health Research and Educational Trust

This article examines the relationship between progress toward the Community Care Network (CCN) vision and "intermediate outcomes" of 25 community-based health partnerships (CCNs). Specific components of the CCN vision were community accountability, community health focus, creation of a seamless service continuum, and managing under limited resources. Four community outcome dimensions were evaluated: access, cost, health, and quality of service delivery integration. Overall progress toward theCCN vision was significantly positively related to average intermediate outcome score and most highly correlated with two dimensions: access and quality of service integration. Qualitative analysis suggests that CCN sites accomplished the most along two dimensions—access and health—noting that intermediate health outcomes generally were in health assessment and information rather than actual health status improvement. Keys to outcome achievement appear to be (1) clearly focused intervention; (2) explicit, ongoing outcome measurement; and (3) strong integration of separate intervention components.

Key Words: outcomes • service delivery integration • access • health improvement


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R. Hasnain-Wynia, S. Sofaer, G. J. Bazzoli, J. A. Alexander, S. M. Shortell, D. A. Conrad, B. Chan, A. P. Zukoski, and J. Sweney
Members' Perceptions of Community Care Network Partnerships' Effectiveness
Med Care Res Rev, December 1, 2003; 60(4_suppl): 40S - 62S.
[Abstract] [PDF]

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D. Easterling
What Have We Learned About Community Partnerships?
Med Care Res Rev, December 1, 2003; 60(4_suppl): 161S - 166S.
[PDF]