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Concept Analysis and Proposed Definition of Community Health Center
Background: Community health centers (CHCs) have been used for delivery of health services since the 1920s and originally were intended to provide care to underserved populations. CHCs have become an integral part of healthcare systems in many countries; however, the term CHC is used synonymously wi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8460964/ https://www.ncbi.nlm.nih.gov/pubmed/34541950 http://dx.doi.org/10.1177/21501327211046436 |
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author | Nagel, Daniel A. Keeping-Burke, Lisa Shamputa, Isdore Chola |
author_facet | Nagel, Daniel A. Keeping-Burke, Lisa Shamputa, Isdore Chola |
author_sort | Nagel, Daniel A. |
collection | PubMed |
description | Background: Community health centers (CHCs) have been used for delivery of health services since the 1920s and originally were intended to provide care to underserved populations. CHCs have become an integral part of healthcare systems in many countries; however, the term CHC is used synonymously with other concepts and there is no clear definition for CHC. The purpose of our concept analysis was to determine how CHCs are described in the literature and to develop a concept definition for CHC. Methods: Informed by the 8-step process described by Walker and Avant, we searched for literature spanning disciplines within health, business, and policy. We used a systematic review process to identify a range of peer-reviewed articles that help illustrate the attributes, antecedents, and consequences of CHCs. A total of 102 articles from 7 databases were included in our concept analysis. Results: We distinguished 6 attributes of a CHC: primary care; accessibility; preventative care; defined population; health promotion; and comprehensive and integrated care. About 4 antecedents fundamental to a CHC included: secure funding; vision and support; adequate human resources; and governance structure. Consequences of CHCs are improved health outcomes, efficiency, and cost-effective provision of healthcare services. Conclusions: Our concept analysis revealed core characteristics of CHCs that assisted us in synthesizing a concept definition for CHC. These characteristics and our proposed definition will help provide clarity on the concept of CHC to benefit evaluation, research, and policy development of CHCs. |
format | Online Article Text |
id | pubmed-8460964 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-84609642021-09-25 Concept Analysis and Proposed Definition of Community Health Center Nagel, Daniel A. Keeping-Burke, Lisa Shamputa, Isdore Chola J Prim Care Community Health Reviews Background: Community health centers (CHCs) have been used for delivery of health services since the 1920s and originally were intended to provide care to underserved populations. CHCs have become an integral part of healthcare systems in many countries; however, the term CHC is used synonymously with other concepts and there is no clear definition for CHC. The purpose of our concept analysis was to determine how CHCs are described in the literature and to develop a concept definition for CHC. Methods: Informed by the 8-step process described by Walker and Avant, we searched for literature spanning disciplines within health, business, and policy. We used a systematic review process to identify a range of peer-reviewed articles that help illustrate the attributes, antecedents, and consequences of CHCs. A total of 102 articles from 7 databases were included in our concept analysis. Results: We distinguished 6 attributes of a CHC: primary care; accessibility; preventative care; defined population; health promotion; and comprehensive and integrated care. About 4 antecedents fundamental to a CHC included: secure funding; vision and support; adequate human resources; and governance structure. Consequences of CHCs are improved health outcomes, efficiency, and cost-effective provision of healthcare services. Conclusions: Our concept analysis revealed core characteristics of CHCs that assisted us in synthesizing a concept definition for CHC. These characteristics and our proposed definition will help provide clarity on the concept of CHC to benefit evaluation, research, and policy development of CHCs. SAGE Publications 2021-09-20 /pmc/articles/PMC8460964/ /pubmed/34541950 http://dx.doi.org/10.1177/21501327211046436 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Reviews Nagel, Daniel A. Keeping-Burke, Lisa Shamputa, Isdore Chola Concept Analysis and Proposed Definition of Community Health Center |
title | Concept Analysis and Proposed Definition of Community Health Center |
title_full | Concept Analysis and Proposed Definition of Community Health Center |
title_fullStr | Concept Analysis and Proposed Definition of Community Health Center |
title_full_unstemmed | Concept Analysis and Proposed Definition of Community Health Center |
title_short | Concept Analysis and Proposed Definition of Community Health Center |
title_sort | concept analysis and proposed definition of community health center |
topic | Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8460964/ https://www.ncbi.nlm.nih.gov/pubmed/34541950 http://dx.doi.org/10.1177/21501327211046436 |
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