Linking primary care and community organizations to increase colorectal cancer screening rates: the HAPPI project

Rosana L Bravo; Kathryn G Kietzman; Peggy Toy; O Kenrik Duru; Steven P Wallace

doi:10.21149/9450

Linking primary care and community organizations to increase colorectal cancer screening rates: the HAPPI project

Salud Publica Mex. 2019 Jul-Ago;61(4):427-435. doi: 10.21149/9450.

Authors

Rosana L Bravo¹, Kathryn G Kietzman^{1

2}, Peggy Toy^{1

2}, O Kenrik Duru^{1

3}, Steven P Wallace^{1

3}

Affiliations

¹ Center for Health Policy Research, The University of California. California, USA.
² Fielding School of Public Health, The University of California. California, USA.
³ Division of General Internal Medicine and Health Services Research, Geffen School of Medicine, The University of California. California, USA.

PMID: 31430085
DOI: 10.21149/9450

Abstract
in English, Spanish

Objective: The Healthy Aging Partnerships in Prevention Initiative (HAPPI) aims to increase the use of clinical preventive services (CPS) among underserved Latinos and African Americans in South Los Angeles who are 50+ years old.

Materials and methods: HAPPI uses an evidencebased model, SPARC, to leverage existing resources and link community resources. HAPPI's multi-sectoral partnerships include local non-governmental organizations (NGOs), community health centers (CHCs), aging and public health agencies serving the City and County of Los Angeles, and a university. Activities include CHC capacity assessment and training, and community capacity-building that included a small grants program.

Results: We engaged five CHCs in quality improvement activities and eight NGOs in networking and programming to increase awareness and receipt of CPS. We discuss barriers and facilitators including the success of trainings conducted with CHC providers and NGO re- presentatives.

Conclusions: Multi-sectoral collaborations hold promise for increasing awareness and use of CPS in underserved communities.

Objetivo: HAPPI se propone aumentar el uso de servicios clínicos preventivos (SCP) en personas mayores de 50 años en Los Ángeles.

Material y métodos: HAPPI es una colaboración intersectorial e incluye organizaciones no gubernamentales (ONG) locales, centros de salud comunitarios (CSC), centros de servicios para personas mayores, agencias de salud pública que dan servicio a la ciudad y al condado de Los Ángeles, y una universidad pública para movilizar recursos comunitarios y promover lazos entre las asociaciones. Sus actividades incluyen asesorar y aumentar la capacitación de CSC y la comunidad, además de un programa de becas.

Resultados: Se colaboró con cinco CSC para la mejora de calidad y con ocho ONG para abrir conciencia de los SCP. Se presentaron barreras y facilitadores incluyendo el éxito de las enseñanzas con proveedores de CSC y representantes de las ONG.

Conclusiones: Las colaboraciones multi-sectoriales son prometedoras para amplificar conciencia del uso de SCP en personas mayores.

Keywords: intersectoral collaboration; preventive health services; public health.

MeSH terms

Aged
Black or African American
Capacity Building*
Colorectal Neoplasms / diagnosis*
Colorectal Neoplasms / prevention & control
Community Health Services / organization & administration*
Community Participation
Financing, Organized
Healthy Aging*
Hispanic or Latino
Humans
Inservice Training
Interinstitutional Relations
Los Angeles
Middle Aged
Patient-Centered Care / organization & administration
Preventive Health Services / organization & administration*
Primary Health Care / organization & administration*

Grants and funding

P01 HS010858/HS/AHRQ HHS/United States

Abstract in English, Spanish

MeSH terms

Grants and funding

Abstract
in English, Spanish