Publications by authors named "Michelle Jester"

Background: Social risk data collection is expanding in community health centers (CHCs). We explored clinicians' practices of adjusting medical care based on their awareness of patients' social risk factors-that is, changes they make to care plans to mitigate the potential impacts of social risk factors on their patients' care and health outcomes-in a set of Texas CHCs.

Methods: Convergent mixed methods.

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Background: Many community health centers (CHC) are scaling social risk screening in response to growing awareness of the influence of social adversity on health outcomes and concurrent incentives for social risk data collection. We studied the implementation of social risk screening in Texas CHCs to inform best practices and understand equity implications.

Methods: Convergent mixed methods of 3 data sources.

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Background: The Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences (PRAPARE) is a nationally recognized standardized protocol that goes beyond medical acuity to account for patients' social determinants of health (SDH).

Aims: We described the magnitude of patient SDH barriers at health centers.

Methods: Health centers across three PRAPARE implementation cohorts collected and submitted PRAPARE data using a standardized data reporting template.

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Background: The mission of the Community Health Applied Research Network (CHARN) is to build capacity to carry out Patient-Centered Outcomes Research at community health centers (CHCs), with the ultimate goal to improve health care for vulnerable populations.

Objectives: The CHARN Needs Assessment Staff Survey investigates CHCs' involvement in research, as well as their need for research training and resources. Results will be used to guide future training.

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Federally Qualified Health Centers are well positioned for translational research given their diverse patient population, unique characteristics, and community knowledge. This was the first national survey that assessed their research activities. Those with research experience were more likely to be urban and Health Care for the Homeless grantees and had more patients, minority patients, and physicians relative to nonphysician providers, enabling services providers, Medicaid revenues per Medicaid patient, and total revenues per patient than health centers with no experience and no future interest in research.

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Article Synopsis
  • Community health centers play a crucial role in local healthcare but lack comprehensive national research on their research experience and needs.
  • A national survey conducted in 2011-2012 assessed 386 community health centers regarding their engagement in public health and health services research, along with perceived barriers and facilitators.
  • The study analyzes differences between health centers with prior research experience and those without to understand varying challenges and research needs.
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