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Journal of Community Health

, Volume 41, Issue 2, pp 220–225 | Cite as

Barriers to Providing Health Education During Primary Care Visits at Community Health Centers: Clinical Staff Insights

  • Jessica Alicea-Planas
  • Alix Pose
  • Linda Smith
Original Paper

Abstract

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.

Keywords

Health education Community health centers Health disparities Clinical staff perceptions 

Notes

Acknowledgments

The authors would like to acknowledge the support of Sigma Theta Tau International, Mu Chi chapter.

References

  1. 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. 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. 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. 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.
  5. 5.
    Chen, L. M., Farwell, W. R., & Jha, A. K. (2009). Primary care visit duration and quality—Does good care take longer? Archives of Internal Medicine, 169(20), 1866–1872. doi: 10.1001/archinternmed.2009.341.CrossRefPubMedGoogle Scholar
  6. 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. 7.
    Group Health Research Institute. (2010). Improving chronic illness care. Retrieved from http://www.improvingchroniccare.org/index.php?p=The_Chronic_Care_Model&s.
  8. 8.
    Hing, E., Hooker, R. S., & Ashman, J. J. (2011). Primary health care in community health centers and comparison with office-based practices. Journal of Community Health, 36, 406–413. doi: 10.1007/s10900-010-9322-x.CrossRefPubMedGoogle Scholar
  9. 9.
    Huber, M., Knottnerous, J. A., Green, L., van der Horst, H., Leonard, B., Lorig, K., et al. (2011). How we should define health? BMJ. doi: 10.1136/bmj.d4163.PubMedGoogle Scholar
  10. 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.
  11. 11.
    Kullgren, J. T., & McLaughlin, C. G. (2010). Beyond affordability: The impact of nonfinancial barriers on access for uninsured adults in three diverse communities. Journal of Community Health, 35, 240–248. doi: 10.1007/s10900-010-9230-0.CrossRefPubMedGoogle Scholar
  12. 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. 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. 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
  15. 15.
    Ritsema, T. S., Bingenheimer, J. B., Scholting, P., & Cawley, J. F. (2014). Differences in the delivery of health education to patients with chronic disease by provider type, 2005–2009. Preventing Chronic Disease, 11, 130–175. doi: 10.5888/pcd11.130175.CrossRefGoogle Scholar
  16. 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
  17. 17.
    Ward, B. W., Schiller, J. S., & Goodman, R. A. (2014). Multiple chronic conditions among US adults: A 2012 update. Preventing Chronic Disease, 11, 1–4. doi: 10.5888/pcd11.130389.Google Scholar
  18. 18.
    Weiler, D. M., & Tirrell, L. (2007). Office nurse educators: Improving diabetes self-management for the Latino population in the clinic setting. Hispanic Health Care International, 5(1), 21–26.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.School of NursingFairfield UniversityFairfieldUSA
  2. 2.Quality ImprovementOptimus Healthcare, Inc.BridgeportUSA
  3. 3.School Based Health Centers and Wellness ProgramsOptimus Healthcare, Inc.BridgeportUSA

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