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- Page navigation anchor for Health is a Community Affair Re-released by Harvard University PressHealth is a Community Affair Re-released by Harvard University Press
You can now purchase the Folsom Report. Health is a Community Affair has been re-released by Harvard University Press.
http://www.hup.harvard.edu/catalog.php?isbn=9780674863385
Competing interests: None declared
Competing Interests: None declared. - Page navigation anchor for On enabling community partnershipsOn enabling community partnershipsShow More
"The Community as a Learning System: Using Local Data to Improve Local Health," by the National Committee on Vital and Health Statistics (NCVHS), offers further examples of communities of solution.(1) The late- 2011 report, which I wrote with NCVHS members and staff, describes fourteen local initiatives from the Bronx, NY, to South Los Angeles and summarizes the success factors and barriers they have in common. A central...
Competing Interests: None declared. - Page navigation anchor for Learning Collaborative in the Healthcare Safety Net to Create Actionable DataLearning Collaborative in the Healthcare Safety Net to Create Actionable DataShow More
Thank you for the opportunity to comment on this inspiring piece. On page 253, the Folsom Group noted that "Addressing social determinants requires linkage between public health, community health, mental health, and primary care; we now have powerful tools necessary to enable that linkage."[1]
Linkages are not enough. Only useable, understandable information truly meets Grand Challenge 13: "Utilize health info...
Competing Interests: None declared. - Page navigation anchor for Only the community can know its solutionsOnly the community can know its solutionsShow More
I remember discussions of the Folsom report when I was a new resident forty years ago. It is nice to see its resurrection but disappointing to see that little has changed. There is a spark of hope now, but time and money will tell the outcome. The current crop of medical students who rotate through my office certainly say they would love to practice rural family medicine, but few do.
The critical point of the co...
Competing Interests: None declared. - Page navigation anchor for Response to Dr. Ringel "Being a Communitarian"Response to Dr. Ringel "Being a Communitarian"Show More
A "Communitarian" is a great way to evoke the team approach called for in the Medical Home; and both the Chronic Care[1] and Expanded Chronic Care[2] Models.
Dr. Ringle's point about Nurse Practitioners is well taken. A systematic review of Advanced Nurse Practice Outcomes[3] assessed quality, access and cost across varied settings, finding that "APRNs provide effective and high-quality patient care". The increased role...
Competing Interests: None declared. - Page navigation anchor for Aligning Incentives to Promote Systems ChangeAligning Incentives to Promote Systems ChangeShow More
Half a century ago, the original Folsom Report captured a comprehensive list of grand challenges on the path to integrating community health services. Here, Griswold and colleagues set forth an updated yet equally ambitious agenda. In many respects, I agree with and echo their analysis, though I would underscore three points.
First I would underscore the fundamental importance of integrating the domains of med...
Competing Interests: None declared. - Page navigation anchor for Engaging Communities through Participatory Research to evaluate Communities of SolutionEngaging Communities through Participatory Research to evaluate Communities of SolutionShow More
Many congratulations to Kim Griswold and the Folsom Group for a very thoughtful and timely article on 'Communities of Solution: the Folsom Report Revisited' published in Ann Fam Med May/June 2012'. Communities of Solution is an exciting proposition - to move forward in such a grounded and positive manner to address the many challenges facing health care and public health in the USA and other countries too. We also absolu...
Competing Interests: None declared. - Page navigation anchor for Being a communitarianBeing a communitarianShow More
When I entered medical school in the early '70's healthcare consumed 6% of the Gross National Product, the highest percentage of the largest economy in the world. As my mates and I experienced firsthand the inefficiency, inequity and sometimes downright abuse perpetrated on the population by the healthcare non-system, we agreed things couldn't get much worse. And, of course, they have gotten much worse over the almost...
Competing Interests: None declared. - Page navigation anchor for Communities of Solution and Community Directed Family Medicine PracticeCommunities of Solution and Community Directed Family Medicine PracticeShow More
The Folsom Report Revisited in the May/June 2012 issue of the Annals of Family Medicine notes that the community-oriented care (COPC) movement grew out of the 1967 Folsom Report. The operational definition of COPC is based on three components: a primary care practice, an involved and definable community, and a set of activities that systematically address the major health issues of the community.1 The Folsom Report Re...
Competing Interests: None declared. - Page navigation anchor for Re:A San Antonio, Texas Community of SolutionRe:A San Antonio, Texas Community of SolutionShow More
The San Antonio Texas "Community of Solution" is an excellent example of what the Folsom Report and our "re-visit" highlight: taking on the complexities involved in population health, and welcoming the most vulnerable patients into primary care. The integration of mapping techniques and utilizing geographical boundaries to be part of the solution seems key to these neighborhoods involved. The project seems to embrace e...
Competing Interests: None declared. - Page navigation anchor for Community Health for the 21st CenturyCommunity Health for the 21st CenturyShow More
This is a wonderful article bringing Community Health into a modern context. With today's information systems, we are able to provide for population health like never before. Community health has long been a value of family medicine, but seeing one patient at a time gave us limited value in providing full community care. Now, with information technology and teams providing care, we can be strategically proactive in addres...
Competing Interests: None declared. - Page navigation anchor for A San Antonio, Texas Community of SolutionA San Antonio, Texas Community of SolutionShow More
We applaud Dr. Griswold and her colleagues (1) for reminding us about the key lessons from the Folsom Report (2). In the spirit of sharing experiences we want to introduce a project in San Antonio that incorporates many of the recommendations specified in this article.
We are conducting an Advanced Primary Care Pilot Project in our residency's Family Health Center (FHC) that focuses on a cohort of about 6,000 u...
Competing Interests: None declared.