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1.
Am J Prev Med ; 48(1): 108-15, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25441236

ABSTRACT

The University of New Mexico Health Sciences Center (UNMHSC) adopted a new Vision to work with community partners to help New Mexico make more progress in health and health equity than any other state by 2020. UNMHSC recognized it would be more successful in meeting communities' health priorities if it better aligned its own educational, research, and clinical missions with their needs. National measures that compare states on the basis of health determinants and outcomes were adopted in 2013 as part of Vision 2020 target measures for gauging progress toward improved health and health care in New Mexico. The Vision focused the institution's resources on strengthening community capacity and responding to community priorities via pipeline education, workforce development programs, community-driven and community-focused research, and community-based clinical service innovations, such as telehealth and "health extension." Initiatives with the greatest impact often cut across institutional silos in colleges, departments, and programs, yielding measurable community health benefits. Community leaders also facilitated collaboration by enlisting University of New Mexico educational and clinical resources to better respond to their local priorities. Early progress in New Mexico's health outcomes measures and state health ranking is a promising sign of movement toward Vision 2020.


Subject(s)
Community-Institutional Relations , Health Priorities , Healthy People Programs/organization & administration , Social Determinants of Health , Capacity Building/methods , Capacity Building/organization & administration , Capacity Building/standards , Healthy People Programs/methods , Healthy People Programs/standards , Humans , New Mexico , Organizational Case Studies , Universities
2.
J Ambul Care Manage ; 37(3): 258-68, 2014.
Article in English | MEDLINE | ID: mdl-24887527

ABSTRACT

This article examines the experience of a frontier-based community health center when it utilized the Tool for Health and Resilience in Vulnerable Environments (THRIVE) for assessing social determinants of health with a local health consortium. Community members (N = 357) rated safety, jobs, housing, and education among the top health issues. Community leaders integrated these health priorities in a countywide strategic planning process. This example of a frontier county in New Mexico demonstrates the critical role that community health centers play when engaging with local residents to assess community health needs for strategic planning and policy development.


Subject(s)
Community Health Centers/organization & administration , Community-Based Participatory Research/organization & administration , Healthy People Programs/organization & administration , Patient-Centered Care/organization & administration , Social Determinants of Health , Community-Based Participatory Research/economics , Community-Based Participatory Research/methods , Health Planning/economics , Health Planning/methods , Health Planning/organization & administration , Health Policy , Health Priorities , Healthy People Programs/economics , Healthy People Programs/methods , Humans , New Mexico , Organizational Case Studies , Patient-Centered Care/economics , Patient-Centered Care/standards
3.
Rev. méd. Chile ; 139(10): 1249-1252, oct. 2011.
Article in Spanish | LILACS | ID: lil-612190

ABSTRACT

Sexuality is more than reproduction, it is an intrinsic part of each of us, is how we develop and relate with others and with the environment of the society to which we belong. Adolescence is a period with special vulnerability for the development of risky behaviors. In Chile, a progressive decrease in the age of sexual activity onset is observed, particularly in lower socioeconomic strata. The main consequences in sexual health are teenage pregnancies and the risk of acquiring sexually transmitted infections such as HIV. The main strategy for the prevention of this risks is a thorough sexual education, that has to be timely, objective, based on scientific evidence, friendly and confidential.


Subject(s)
Female , Humans , Male , Adolescent Behavior/psychology , Health Knowledge, Attitudes, Practice , Healthy People Programs/methods , Sex Education/methods , Sexual Behavior , Students/psychology
4.
Rev. méd. Chile ; 139(10): 1269-1275, oct. 2011. tab
Article in Spanish | LILACS | ID: lil-612193

ABSTRACT

Background: The need to educate adolescents about healthy sexual behavior motivated the development of an education program on sexuality. Aim: To describe the knowledge of students about sexuality and the implementation of a sexual education project. Material and Methods: Sixty students aged 14 years (34 females), attending the third year of secondary education participated in dynamic workshops about healthy sexual behaviors. Results: The most common reactions of students when facing situations related to sexual behavior were shame, anxiety, fear and lack of knowledge. Group dynamics improved the practical knowledge of students about sexual behavior, allowing them to make informed decisions. Conclusions: These innovative educational techniques should be expanded to other students.


Subject(s)
Adolescent , Female , Humans , Male , Adolescent Behavior/psychology , Health Knowledge, Attitudes, Practice , Healthy People Programs/methods , Sex Education/methods , Sexual Behavior , Students/psychology , Spain , Students/statistics & numerical data
5.
Rev Med Chil ; 139(10): 1249-52, 2011 Oct.
Article in Spanish | MEDLINE | ID: mdl-22286722

ABSTRACT

Sexuality is more than reproduction, it is an intrinsic part of each of us, is how we develop and relate with others and with the environment of the society to which we belong. Adolescence is a period with special vulnerability for the development of risky behaviors. In Chile, a progressive decrease in the age of sexual activity onset is observed, particularly in lower socioeconomic strata. The main consequences in sexual health are teenage pregnancies and the risk of acquiring sexually transmitted infections such as HIV. The main strategy for the prevention of this risks is a thorough sexual education, that has to be timely, objective, based on scientific evidence, friendly and confidential.


Subject(s)
Adolescent Behavior/psychology , Health Knowledge, Attitudes, Practice , Healthy People Programs/methods , Sex Education/methods , Sexual Behavior , Students/psychology , Female , Humans , Male
6.
Rev Med Chil ; 139(10): 1269-75, 2011 Oct.
Article in Spanish | MEDLINE | ID: mdl-22286725

ABSTRACT

BACKGROUND: The need to educate adolescents about healthy sexual behavior motivated the development of an education program on sexuality. AIM: To describe the knowledge of students about sexuality and the implementation of a sexual education project. MATERIAL AND METHODS: Sixty students aged 14 years (34 females), attending the third year of secondary education participated in dynamic workshops about healthy sexual behaviors. RESULTS: The most common reactions of students when facing situations related to sexual behavior were shame, anxiety, fear and lack of knowledge. Group dynamics improved the practical knowledge of students about sexual behavior, allowing them to make informed decisions. CONCLUSIONS: These innovative educational techniques should be expanded to other students.


Subject(s)
Adolescent Behavior/psychology , Health Knowledge, Attitudes, Practice , Healthy People Programs/methods , Sex Education/methods , Sexual Behavior , Students/psychology , Adolescent , Female , Humans , Male , Spain , Students/statistics & numerical data
7.
Rev. méd. Chile ; 138(9): 1077-1083, sept. 2010. tab
Article in Spanish | LILACS | ID: lil-572013

ABSTRACT

Background: There is no established definition of healthy aging in clinical practice, although it is a World Health Organization goal. Aim: To develop a clinical protocol to identify healthy older people living in the community and study their clinical, laboratory and functional characteristics. Material and Methods: Healthy people aged 60 years or older, were invited to participate in the study, by newspapers and radio, if they selfperceived as healthy, lived in the community, were functionally independent and had low disease burden. Potential participants were initially screened by telephone, and those who met the inclusion criteria were included. They had a comprehensive geriatric assessment which included clinical, anthropometric, laboratory and functional assessments. Results: Of 384 people who answered the call, 83 subjects aged 60 to 98 years (57 percent women) met the inclusion criteria of healthy older people. Seventy eight percent did not consume any medication, 100 percent were able to perform physical activities that required at least three metabolic equivalents (Mets). Basic laboratory showed that approximately 90 percent of subjects had normal values, using standard benchmarks established for an adult population. Conclusions: The protocol used in this work was able to identify healthy older people with low disease burden and good functionality. It also validated history and comprehensive geriatric assessment as reliable instruments to identify these subjects.


Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Aging/physiology , Geriatric Assessment/methods , Health Status , Healthy People Programs/methods , Body Mass Index , Body Weight , Chile/epidemiology , Clinical Protocols , Overweight/epidemiology , Sex Distribution , World Health Organization
8.
Rev Med Chil ; 138(9): 1077-83, 2010 Sep.
Article in Spanish | MEDLINE | ID: mdl-21249275

ABSTRACT

BACKGROUND: there is no established definition of healthy aging in clinical practice, although it is a World Health Organization goal. AIM: to develop a clinical protocol to identify healthy older people living in the community and study their clinical, laboratory and functional characteristics. MATERIAL AND METHODS: healthy people aged 60 years or older, were invited to participate in the study, by newspapers and radio, if they selfperceived as healthy, lived in the community, were functionally independent and had low disease burden. Potential participants were initially screened by telephone, and those who met the inclusion criteria were included. They had a comprehensive geriatric assessment which included clinical, anthropometric, laboratory and functional assessments. RESULTS: of 384 people who answered the call, 83 subjects aged 60 to 98 years (57% women) met the inclusion criteria of healthy older people. Seventy eight percent did not consume any medication, 100% were able to perform physical activities that required at least three metabolic equivalents (Mets). Basic laboratory showed that approximately 90% of subjects had normal values, using standard benchmarks established for an adult population. CONCLUSIONS: the protocol used in this work was able to identify healthy older people with low disease burden and good functionality. It also validated history and comprehensive geriatric assessment as reliable instruments to identify these subjects.


Subject(s)
Aging/physiology , Geriatric Assessment/methods , Health Status , Healthy People Programs/methods , Aged , Aged, 80 and over , Body Mass Index , Body Weight , Chile/epidemiology , Clinical Protocols , Female , Humans , Male , Middle Aged , Overweight/epidemiology , Sex Distribution , World Health Organization
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