Barriers to Providing Health Education During Primary Care Visits at Community Health Centers: Clinical Staff Insights
- 571 Downloads
The rapid increase of diverse patients living in the US has created a different set of needs in healthcare, with the persistence of health disparities continuing to challenge the current system. Chronic disease management has been discussed as a way to improve health outcomes, with quality patient education being a key component. Using a community based participatory research framework, this study utilized a web-based survey and explored clinical staff perceptions of barriers to providing patient education during primary care visits. With a response rate of nearly 42 %, appointment time allotment seemed to be one of the most critical factors related to the delivery of health education and should be considered key. The importance of team-based care and staff training were also significant. Various suggestions were made in order to improve the delivery of quality patient education at community health centers located in underserved areas.
KeywordsHealth education Community health centers Health disparities Clinical staff perceptions
The authors would like to acknowledge the support of Sigma Theta Tau International, Mu Chi chapter.
- 1.Agency for Healthcare Research and Quality. (2014). Disparities in healthcare quality among racial and ethnic minority groups: Selected findings from the 2010 national healthcare quality and disparities reports. Rockville, MD. Retrieved from http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr10/minority.html.
- 2.Agency for Healthcare and Quality. (2003). The role of community-based participatory research: Creating partnerships, improving health. AHRQ Publication No. 03-0037, Rockville, MD. Retrieved from http://www.ahrq.gov/research/cbprrole.htm.
- 3.Anderson, D. R., & Ofayiwola, J. N. (2012). Community health centers and the patient-centered medical homes: Challenges and opportunities to reduce health care disparities in America. Journal of Health Care for the Poor and Underserved, 23(3), 949–957. doi: 10.1353/hpu.2012.0099.CrossRefPubMedGoogle Scholar
- 4.Centers for Disease Control and Prevention. (2011). CDC health disparities and inequalities report—United States, 2011. Morbidity and Mortality Weekly Review, 60(Supplement), 1–114. Retrieved from http://www.cdc.gov/mmwr/pdf/other/su6001.pdf.
- 6.Gerteis, J., Izrael, D., Deitz, D., LeRoy, L., Ricciardi, R., Miller, T., et al. (2014). Multiple chronic conditions chartbook. AHRQ Publications No. Q14-0038. Rockville, MD. Retrieved from http://www.ahrq.gov/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf.
- 7.Group Health Research Institute. (2010). Improving chronic illness care. Retrieved from http://www.improvingchroniccare.org/index.php?p=The_Chronic_Care_Model&s.
- 10.Institute of Medicine. (2003). Unequal treatment: Confronting racial and ethnic disparities in health care. Retrieved from http://www.nap.edu/openbook.php?isbn=030908265X.
- 12.Lebrun, L. A., Shi, L., Zhu, J., Sharma, R., Sripipatana, A., Hayashi, S., et al. (2013). Racial/ethnic differences in clinical quality performance among health centers. Journal of Ambulatory Care Management, 36(1), 24–34. Retrieved from http://bphc.hrsa.gov/publications/racialdifferences.pdf.
- 13.National Association of Community Health Centers. (2014). A sketch of community health centers. Retrieved from http://www.nachc.com/client//Chartbook_December_2014.pdf.
- 14.Parra-Medina, D., Wilcox, S., Salinas, J., Addy, C., Fore, E., Poston, M., & Wilson, D. K. (2011). Results of a heart healthy and ethnically relevant lifestyle trial: A cardiovascular risk reduction intervention for African American woman attending community health centers. American Journal of Public Health, 101(10), 1914–1921. doi: 10.2105/AJPH.2011.300151.CrossRefPubMedPubMedCentralGoogle Scholar
- 16.Shi, L., Lebrun-Harris, L. A., Daly, C. A., Sharma, R., Sripipatana, A., Hayashi, A. S., & Ngo-Metzger, Q. (2013). Reducing disparities in access to primary care and patient satisfaction with care: The role of health centers. Journal of Health Care for the Poor and Underserved, 24(1), 56–66. doi: 10.1353/hpu.2013.0022.CrossRefPubMedGoogle Scholar