UC Davis Health System Financial Update

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Community Engagement
Sergio Aguilar-Gaxiola, M.D., Ph.D. Professor,
Internal Medicine Director, Center for Reducing
Health Disparities Rand Conger, Ph.D. Professor
and Sociologist, Department of Human and
Community Development Director, Family Research
Group CTSA Community Engagement Steering
Committee Meeting February 27, 2007
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What is Role of the Community in Health Care?

• The community context is an important determinant
  of health outcomes
• The community is where the full impact of
  evidence-based information will be realized
• Community engagement and collaboration is a
  cornerstone of effective public health practice
• Community involvement is crucial in the
  recruitment and retention of diverse groups
  participation in research
• Successful community engagement builds skills and
  capacity within the community, which are
  fundamental factors for optimal health.

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Definition of Community
a group of people with diverse characteristics
who are linked by social ties, share common
perspectives, and engage in joint action in
geographical locations or settings.
Source MacQueen, McLellan, Metzger, et al.,
2001 p. 1929.
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Community Engagement

• Community Engagement is about personal and local
  relationships to
• Assess environment
• Make multiple contacts
• Listen and learn before ASKING
• Be honest about our intentions
• Explore collaboration/partnership potential
• Create a presence in communities that
• Demonstrates the value of research
• Conducts regular outreach for education
• Facilitates dissemination of research results
• Community Engagement is needed for
• Developing trust and respect
• Timely accrual of study participants
• Diverse inclusion

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Milestones of Community Engagement

• Build on prior positive working relationships and
  develop new community partnerships
• Solicit community input to set research
  priorities and participate in study design and
  the research process for health research
• Solicit community input and advice on the
  implementation of studies, including optimal
  methods for recruitment and retention in clinical
  trials
• In collaboration with our community partners,
  disseminate culturally and linguistically
  appropriate health information to members of our
  local communities.

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Community Partnerships with UCDHS Building on
Strength

• Student-run Free Community Clinics
• Communities and Physicians Together
• Asian American Network for Cancer Awareness,
  Research, and Training (AANCART)
• Clinic on Wheels
• MAAP, Inc. The Sacramento Community Health Center
• Child and Adolescent Abuse Diagnostic and
  Treatment Center (CAARE)
• Sacramento County Cultural Consultation Service
• La Familia Counseling Center
• Capital Medical Society (CMS, African American)
• Council of Asian Pacific Islanders Together for
  Advocacy Leadership (CAPITAL)
• California Latino Medical Society (CaLMA)
• Family Research Group
• Health For All, Inc.
• California Primary Care Association
• CMA Foundation
• Catholic Health Care Conference

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Anticipated Outcomes (1 yr) - 1

• Develop an infrastructure to build on existing
  partnerships and develop new ones and facilitate
  bi-directional relationships with
  underrepresented communities and provider
  networks
• Develop curricula and provide training and
  consultation for investigators and their staff
  in
• the recruitment and retention of
  under-represented minorities into research
  studies
• the design and conduct of culturally and
  linguistically appropriate interactions with
  research participants
• community-based participatory and practice-based
  research
• Develop and provide training on qualitative
  research to strengthen the validity of
  investigations

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Anticipated Outcomes (1 yr) - 2

• Develop presentations and educational materials
  on clinical trials research for community
  partners and health providers
• Create the Research and Education Community
  Advisory Board (RECAB)
• Develop a website to provide access to
  educational materials and training information
• Develop outcome evaluation measures to monitor
  successes and identify areas of challenge and
  specific barriers

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Program Evaluation for Community Engagement
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• Achieving effective collaborations with
  institutional researchers, community members,
  health care providers, and the lay public
  is essential to engage meaningful
  community participation
  in health research