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Commentary: Not about us without us.
Acad Med. 2009 Oct; 84(10):1333-5.AM

Abstract

Disparities in health care are pervasive, but the patterns vary substantially across the nation. Solutions to eliminate health care disparities associated with patient race, ethnicity, income, education, geography, and other factors must be customized to address the specific circumstances of each community. The urgency of addressing disparities exceeds the available evidence to do so. In this context, community-based participatory research (CBPR) offers an appealing strategy to develop the requisite evidence while improving care.Using case studies from their experience, Moreno and colleagues convey a thoughtful, realistic account of the University of California, Los Angeles Family Medicine CBPR experience focused on addressing disparities in health and health care among racial/ethnic minority immigrant populations in a Los Angeles County community. This report highlights both the potential for community transformation and the challenges encountered by medical student researchers in the quest to establish meaningful partnerships that promote and value community members' contributions to the research areas under study, with the goal of improving health outcomes and reducing health care disparities.The authors of this commentary believe that the ongoing national debate addressing the need to reform the health care system in the United States and reduce health and health care disparities for underserved populations will bring increased focus on applying the tenets of CBPR. Sustaining relevant health care services research that engages community partners, researchers, and funders is a promising model of community engagement with potential for replication and sustainability.

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Authors+Show Affiliations

Casale CR
Agency for Healthcare Research and Quality, Rockville, Maryland, USA. Cecilia.Casale@ahrq.hhs.gov
Clancy CM
No affiliation info available

MeSH

Community-Based Participatory ResearchEducation, Medical, UndergraduateHealth Care ReformHealthcare DisparitiesHumansLos AngelesUnited States

Pub Type(s)

Comment
Journal Article

Language

eng

PubMed ID

19881415

Citation

Casale, Cecilia Rivera, and Carolyn M. Clancy. "Commentary: Not About Us Without Us." Academic Medicine : Journal of the Association of American Medical Colleges, vol. 84, no. 10, 2009, pp. 1333-5.
Casale CR, Clancy CM. Commentary: Not about us without us. Acad Med. 2009;84(10):1333-5.
Casale, C. R., & Clancy, C. M. (2009). Commentary: Not about us without us. Academic Medicine : Journal of the Association of American Medical Colleges, 84(10), 1333-5. https://doi.org/10.1097/ACM.0b013e3181b6afd0
Casale CR, Clancy CM. Commentary: Not About Us Without Us. Acad Med. 2009;84(10):1333-5. PubMed PMID: 19881415.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Commentary: Not about us without us. AU - Casale,Cecilia Rivera, AU - Clancy,Carolyn M, PY - 2009/11/3/entrez PY - 2009/11/3/pubmed PY - 2009/12/16/medline SP - 1333 EP - 5 JF - Academic medicine : journal of the Association of American Medical Colleges JO - Acad Med VL - 84 IS - 10 N2 - Disparities in health care are pervasive, but the patterns vary substantially across the nation. Solutions to eliminate health care disparities associated with patient race, ethnicity, income, education, geography, and other factors must be customized to address the specific circumstances of each community. The urgency of addressing disparities exceeds the available evidence to do so. In this context, community-based participatory research (CBPR) offers an appealing strategy to develop the requisite evidence while improving care.Using case studies from their experience, Moreno and colleagues convey a thoughtful, realistic account of the University of California, Los Angeles Family Medicine CBPR experience focused on addressing disparities in health and health care among racial/ethnic minority immigrant populations in a Los Angeles County community. This report highlights both the potential for community transformation and the challenges encountered by medical student researchers in the quest to establish meaningful partnerships that promote and value community members' contributions to the research areas under study, with the goal of improving health outcomes and reducing health care disparities.The authors of this commentary believe that the ongoing national debate addressing the need to reform the health care system in the United States and reduce health and health care disparities for underserved populations will bring increased focus on applying the tenets of CBPR. Sustaining relevant health care services research that engages community partners, researchers, and funders is a promising model of community engagement with potential for replication and sustainability. SN - 1938-808X UR - https://www.unboundmedicine.com/medline/citation/19881415/Commentary:_Not_about_us_without_us_ L2 - https://doi.org/10.1097/ACM.0b013e3181b6afd0 DB - PRIME DP - Unbound Medicine ER -