Citizen Involvement in Community Health Promotion: A Role Application of CDC's Patch Model

Abstract

In response to the need for population-based strategies for health promotion, the U.S. Centers for Disease Control (CDC) have been conducting “The Planned Approach to Community Health” (PATCH) since 1984. PATCH is a demonstration process to strengthen the collective capacities of states and communities to plan and deliver community health promotion programs targeted at community-determined priorities. Drawing upon lessons learned from mobilizing citizens in an upstate New York population of 9000 households, the five elements of the PATCH process: 1) coalition building, 2) data collection, 3) problem specification and priority setting, 4) intervention planning and implementation, and 5) evaluation, are illustrated.

Get full access to this article

View all access options for this article.

References

World Health Organization , Alma Ata: Primary Health Care, in Health Care for All, Series No. 1, World Health Organization, 1978.

Puska

, The Community-Based Strategy to Prevent Coronary Heart Disease: Conclusions from the Ten Years of the North Karelia Project, Annual Review of Public Health, 6, pp. 147–193, 1985.

Puska

, Evaluating Community-Based Preventive Cardiovascular Programs Problems and Experiences from The North Karelia Project, Journal of Community Health, 9: 1, pp. 49–64, Fall 1983.

Mittlemark

M. B.

, Community-Wide Prevention of Cardiovascular Disease: Education Strategies of the Minnesota Heart Health Program, Preventive Medicine, 15: 1, pp. 1–7, 1986.

Carlaw

R. W.

, Organization for a Community Cardiovascular Health Program: Experiences from The Minnesota Heart Health Program, Health Education Quarterly, 11: 3, pp. 243–252, Fall, 1984.

Lasater

T. M.

Elder

J. P.

Carleton

R. A.

, and Abrams

D. B.

, The Pawtucket Heart Health Program: Prospects and Process, in Perspectives in Behavioral Medicine, Vol. 3, Baum

and Herd

(eds.), Academic Press, New York, 1988.

Lefebrve

R. C.

Lasater

T. M.

Carleton

R. A.

, and Peterson

, Theory and Delivery of Health Programming in the Community: The Pawtucket Heart Health Program, Preventive Medicine, 16, pp. 80–95, 1987.

Farquhar

J. W.

, The Stanford Five-City Project: Design and Methods, American Journal of Epidemiology, 122: 2, pp. 323–334, August 1985.

Perspectives of the WHO Regional Office for Europe: Health Promotion and Lifestyles , HYGIE: International Journal of Health Education (Paris), 1: 3–4, pp. 57–60, 1982.

10.

Model Standards: A Guide for Community Preventive Health Services, 2nd Edition, U.S. Government Printing Office, Washington, D.C., pp. 73–74, 1985.

11.

Green

L. W.

and Raeburn

J. M.

, Health Promotion: What Is It? What Will It Become? Health Promotion, 3: 2, pp. 151–159, 1988.

12.

Nelson

C. F.

Kreuter

Watkins

, and Stoddard

, A Partnership Between the Community, State, and Federal Government: Rhetoric or Reality? HYGIE: International Journal of Health Education (Paris), 3, pp. 27–31, 1986.

13.

Green

L. W.

, Health Education Planning: A Diagnostic Approach, Mayfield Publishing Company, Palo Alto, California, 1980.

14.

PATCH: The Planned Approach to Community Health, U.S. Centers for Disease Control, Atlanta, Georgia, pp. 1–3, 1985.

15.

Fuchs

, Planning for Community Health Promotion: A Rural Example, Health Values, 12: 6, pp. 3–8, November/December 1988.

16.

PATCH: The Movie , Thirteen Minutes, VHS. Available from The Division of Health Education, Centers for Disease Control, Atlanta, Georgia 30333.

17.

Steckler

and Goodman

, How to Institutionalize Health Promotion Programs. Unpublished document. Department of Health Behavior and Health Education, School of Public Health, University of North Carolina, Chapel Hill, 1988.