Online Program

A framework for mainstreaming patient-centered communication in community-based healthcare organizations

Wednesday, November 6, 2013 : 10:30 a.m. - 10:50 a.m.

Dina Refki, DA, Center for Women in Government & Civil Society, University at Albany, Albany, NY
Stergios Roussos, PhD, MPH, Alliance for Community Research and Development, Merced, CA
Grace Mose, PhD, Family Planning Advocates of NYS, Albany, NY
Monica Bernardo, MA, Alliance for Community Research and Development, Merced, CA
The Mainstreaming framework evolved from a research study with family planning centers that took place from 2009 – 2012. The study tested the correlation between enhanced organizational management system, the provision of patient centered communication, and improved patient health outcomes. Enhanced management system was measured by ability to integrate the needs of Communication Vulnerable Patients (CVP) into an organization's operating structure including its design, culture, data, information, and monitoring/evaluation systems. Improved patient outcomes were measured through increased testing for STD with Latina patients. The study was conducted in two phases. In phase 1, a baseline survey deepened understanding of the organizational structures. In Phase 2, six clinics were purposively selected from the pool of survey respondents to participate in the study. The 6 clinics were divided into two groups. A delayed intervention methodology was used to allow an opportunity to use Group B as a control Group for the initial 4 months. Site visits; interviews, action plan development, technical assistance, patient chart reviews and review of organizational records were used. Social Learning Theory51, Behavioral Ecological Model, Learning Organizational theory, system theory and gender mainstreaming concepts guided this study. With few exceptions, response to communication barriers has been reactive and non-consistent. They ignored the complexity of the organizational system and the interconnectedness of its many parts and elements. Strategies failed to recognize the interrelated consequences of communication breakdowns, and the overall impact on organizational structure, process and health outcomes. The mainstreaming framework utilizes system thinking principles critical to catalyzing organizational learning and development. It provides guidance to integrate the needs and concerns of CVP within the organizational structure, and enables practitioners to overcome mental models that perceive serving CVP as a burden. It facilitates harnessing the business potential of capturing a larger pool of the patient market.

Learning Areas:

Administration, management, leadership

Learning Objectives:
Describe a framework for mainstreaming patient centered communication within community-based healthcare organizations.

Keyword(s): Access to Health Care, Access and Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as Principal Investigator on this research study and other federal and state-supported grants. For the last 13 years, my research has focused on patient-centered communication, and on overcoming comunication-barriers related to language, culture and literacy.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.