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  1. Article ; Online: Improving the Health of Our Communities By Listening to Our Communities.

    Michener, J Lloyd

    Academic medicine : journal of the Association of American Medical Colleges

    2024  Volume 99, Issue 5, Page(s) 476

    MeSH term(s) Humans
    Language English
    Publishing date 2024-02-08
    Publishing country United States
    Document type Letter ; Journal Article
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000005656
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Health Systems Approaches to Preventing Chronic Disease: New Partners, New Tools, and New Strategies.

    Michener, J Lloyd / Briss, Peter

    Preventing chronic disease

    2019  Volume 16, Page(s) E136

    MeSH term(s) Chronic Disease/prevention & control ; Cooperative Behavior ; Delivery of Health Care/organization & administration ; Humans ; Public Health/standards
    Language English
    Publishing date 2019-10-03
    Publishing country United States
    Document type Editorial ; Introductory Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2135684-1
    ISSN 1545-1151 ; 1545-1151
    ISSN (online) 1545-1151
    ISSN 1545-1151
    DOI 10.5888/pcd16.190248
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Parent-Child Vaccination Concordance and Its Relationship to Child Age, Parent Age and Education, and Perceived Social Norms.

    Tu, Pikuei / Smith, Danielle / Parker, Taylor / Pejavara, Kartik / Michener, J Lloyd / Lin, Cheryl

    Vaccines

    2023  Volume 11, Issue 7

    Abstract: Researchers established that parental vaccination status often predicts that of their children, but a limited number of studies have examined factors influencing dyadic concordance or discordance (i.e., same or different vaccination status or intent for ... ...

    Abstract Researchers established that parental vaccination status often predicts that of their children, but a limited number of studies have examined factors influencing dyadic concordance or discordance (i.e., same or different vaccination status or intent for both members). We investigated how child versus parent age as well as parents' perceptions of their respective friends' immunization behavior impacted un/vaccinated parents' decisions regarding vaccinating their child. An online survey obtained the COVID-19 vaccination status and views of 762 parents of 5-17-year-old children. More than three-quarters of all dyads were concordant; 24.1% of vaccinated parents would not vaccinate their child, with greater hesitancy for younger children and among younger or less educated parents. Children of vaccinated parents and of parents who thought most of their child's friends were vaccinated were 4.7 and 1.9 times, respectively, more likely to be vaccinated; unvaccinated parents were 3.2 times more likely to accept the vaccine for their child if they believed most of their friends would vaccinate their children. Further, parents who reported that most of their friends were vaccinated were 1.9 times more likely to have obtained the vaccine themselves, illustrating the influence of social norms. Regardless of their own vaccination status, parents of unvaccinated children were more likely to be politically conservative. If communities or circles of friends could achieve or convey a vaccinated norm, this might persuade undecided or reluctant parents to vaccinate their children. Future research should examine the effects of community behavior and messages highlighting social norms on pediatric vaccine uptake.
    Language English
    Publishing date 2023-07-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines11071210
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Academic Medicine's Fourth Mission: Building on Community-Oriented Primary Care to Achieve Community-Engaged Health Care.

    Savage Hoggard, Courtney L / Kaufman, Arthur / Michener, J Lloyd / Phillips, Robert L

    Academic medicine : journal of the Association of American Medical Colleges

    2023  Volume 98, Issue 2, Page(s) 175–179

    Abstract: A 2021 article, "Now is our time to act: Why academic medicine must embrace community collaboration as its fourth mission," by Association of American Medical Colleges (AAMC) authors, including AAMC president and CEO Dr. David J. Skorton, offers 2 aims ... ...

    Abstract A 2021 article, "Now is our time to act: Why academic medicine must embrace community collaboration as its fourth mission," by Association of American Medical Colleges (AAMC) authors, including AAMC president and CEO Dr. David J. Skorton, offers 2 aims that are highly related: community collaboration and health equity. The AAMC's call to prioritize community collaboration and health equity as pillars of the academic medicine mission echo earlier work on community-oriented primary care (COPC) and an even more robust model that builds on COPC, community-engaged health care (CEHC). COPC is a tested, systematic approach to health care by which a health clinic or system collaborates with a community to reshape priorities and services based on assessed health needs and determinants of health. COPC affirms health inequities' socioeconomic and political roots, emphasizing health care as a relationship, not a transaction or commodity. Communities where COPC is implemented often see reductions in health inequities, especially those related to socioeconomic, structural, and environmental factors. COPC was the foundation on which community health centers were built, and early models had demonstrable effects on community health and engagement. Several academic health centers build on COPC to achieve CEHC. In CEHC, primary care remains critical, but more of the academic health center's functions are pulled into community engagement and trust building. Thus, the AAMC has described and embraced a care and training model for which there are good, longitudinal examples among medical schools and teaching hospitals. Spreading CEHC and aligning the Community Health Needs Assessment requirements of academic health centers with the fourth mission could go a long way to improving equity, building trust, and repairing the social contract for health care.
    MeSH term(s) Humans ; Community Health Services ; Hospitals, Teaching ; Delivery of Health Care ; Schools, Medical ; Primary Health Care
    Language English
    Publishing date 2023-01-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000004991
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Attitudes towards diversity, equity, and inclusion across the CTSA Programs: Strong but not uniform support and commitment.

    Duong, Jeffrey / McIntosh, Scott / Attia, Jacqueline / Michener, J Lloyd / Cottler, Linda B / Aguilar-Gaxiola, Sergio A

    Journal of clinical and translational science

    2023  Volume 7, Issue 1, Page(s) e66

    Abstract: Background: This study describes attitudes towards diversity, equity, and inclusion (DEI) among members of the Clinical and Translational Science Awards (CTSA) Program. It also explores associations between program members' roles and their perceived ... ...

    Abstract Background: This study describes attitudes towards diversity, equity, and inclusion (DEI) among members of the Clinical and Translational Science Awards (CTSA) Program. It also explores associations between program members' roles and their perceived importance of and commitment to improving DEI and assesses the link between perceived importance of and commitment to improving DEI. Lastly, it ascertains barriers and priorities concerning health equity research, workforce development, CTSA consortium leadership, and clinical trials participation among respondents.
    Methods: A survey was administered to registrants of the virtual CTSA Program 2020 Fall Meeting. Respondents reported their roles, perceived importance of and commitment to improving DEI. Bivariate cross-tabulations and structural equation modeling examined associations between respondents' roles, perceived importance of DEI, and commitment to improving DEI. Grounded theory was used to code and analyze open-ended questions.
    Results: Among 796 registrants, 231 individuals completed the survey. DEI was "extremely important" among 72.7 percent of respondents and lowest among UL1 PIs (66.7%). Being "extremely committed" to improving DEI was reported by 56.3 percent of respondents and lowest among "other staff" (49.6%). Perceived importance of DEI was positively associated with commitment to improve DEI.
    Conclusion: Clinical and translational science organizations must take bold steps to transform individual perceptions of DEI into commitment and commitment into action. Institutions must set visionary objectives spanning leadership, training, research, and clinical trials research to meet the promise and benefits of a diverse NIH-supported workforce.
    Language English
    Publishing date 2023-02-07
    Publishing country England
    Document type Journal Article
    ISSN 2059-8661
    ISSN (online) 2059-8661
    DOI 10.1017/cts.2022.525
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: "Family Medicine's Task in Population Health: Defining It and Owning It" Begins With the Community.

    Michener, Lloyd / Bradley, Don / Martinez-Bianchi, Viviana / Andolsek, Kathryn M

    Family medicine

    2019  Volume 51, Issue 5, Page(s) 444–445

    MeSH term(s) Community Medicine ; Family Practice ; Population Health
    Language English
    Publishing date 2019-05-13
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 639374-3
    ISSN 1938-3800 ; 0742-3225
    ISSN (online) 1938-3800
    ISSN 0742-3225
    DOI 10.22454/FamMed.2019.592951
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Attitudes towards diversity, equity, and inclusion across the CTSA Programs

    Jeffrey Duong / Scott McIntosh / Jacqueline Attia / J. Lloyd Michener / Linda B. Cottler / Sergio A. Aguilar-Gaxiola

    Journal of Clinical and Translational Science, Vol

    Strong but not uniform support and commitment

    2023  Volume 7

    Abstract: Abstract Background: This study describes attitudes towards diversity, equity, and inclusion (DEI) among members of the Clinical and Translational Science Awards (CTSA) Program. It also explores associations between program members’ roles and their ... ...

    Abstract Abstract Background: This study describes attitudes towards diversity, equity, and inclusion (DEI) among members of the Clinical and Translational Science Awards (CTSA) Program. It also explores associations between program members’ roles and their perceived importance of and commitment to improving DEI and assesses the link between perceived importance of and commitment to improving DEI. Lastly, it ascertains barriers and priorities concerning health equity research, workforce development, CTSA consortium leadership, and clinical trials participation among respondents. Methods: A survey was administered to registrants of the virtual CTSA Program 2020 Fall Meeting. Respondents reported their roles, perceived importance of and commitment to improving DEI. Bivariate cross-tabulations and structural equation modeling examined associations between respondents’ roles, perceived importance of DEI, and commitment to improving DEI. Grounded theory was used to code and analyze open-ended questions. Results: Among 796 registrants, 231 individuals completed the survey. DEI was “extremely important” among 72.7 percent of respondents and lowest among UL1 PIs (66.7%). Being “extremely committed” to improving DEI was reported by 56.3 percent of respondents and lowest among “other staff” (49.6%). Perceived importance of DEI was positively associated with commitment to improve DEI. Institutional and CTSA Commitment, Support, and Prioritization of DEI represented a key theme for improving DEI among respondents. Conclusion: Clinical and translational science organizations must take bold steps to transform individual perceptions of DEI into commitment and commitment into action. Institutions must set visionary objectives spanning leadership, training, research, and clinical trials research to meet the promise and benefits of a diverse NIH-supported workforce.
    Keywords Health equity ; DEI ; translational research ; community engagement ; workforce training ; Medicine ; R
    Subject code 360
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Cambridge University Press
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Engagement science: The core of dissemination, implementation, and translational research science.

    Meissner, Paul / Cottler, Linda B / Eder, Milton Mickey / Michener, J Lloyd

    Journal of clinical and translational science

    2020  Volume 4, Issue 3, Page(s) 216–218

    Abstract: Stakeholder engagement is acknowledged as central to dissemination and implementation (D&I) of research that generates and answers new clinical and health service research questions. There is both benefit and risk in conducting stakeholder engagement. ... ...

    Abstract Stakeholder engagement is acknowledged as central to dissemination and implementation (D&I) of research that generates and answers new clinical and health service research questions. There is both benefit and risk in conducting stakeholder engagement. Done wrong, it can damage trust and adversely impact study results, outcomes, and reputations. Done correctly with sensitivity, inclusion, and respect, it can significantly facilitate improvements in research prioritization, communication, design, recruitment strategies, and ultimately provide results useful to improve population and individual health. There is a recognized science of stakeholder engagement, but a general lack of knowledge that matches its strategies and approaches to particular populations of interest based on history and characteristics. This article reviews stakeholder engagement, provides several examples of its application across the range of translational research, and recommends that Clinical Translational Science Awards, with their unique geographical, systems, and historical characteristics, actively participate in deepening our understanding of stakeholder engagement science and methods within implementation and dissemination research. These recommendations include (a) development of an inventory of successful stakeholder engagement strategies; (b) coordination and intentionally testing a variety of stakeholder engagement strategies; (c) tool kit development; and (d) identification of fundamental motivators and logic models for stakeholder engagement to help align stakeholders and researchers.
    Language English
    Publishing date 2020-01-20
    Publishing country England
    Document type Journal Article
    ISSN 2059-8661
    ISSN (online) 2059-8661
    DOI 10.1017/cts.2020.8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Academic family medicine chairs.

    Michener, Lloyd

    Annals of family medicine

    2005  Volume 3, Issue 2, Page(s) 180

    MeSH term(s) Faculty, Medical ; Family Practice/education ; United States
    Language English
    Publishing date 2005-03
    Publishing country United States
    Document type News
    ZDB-ID 2171425-3
    ISSN 1544-1717 ; 1544-1709
    ISSN (online) 1544-1717
    ISSN 1544-1709
    DOI 10.1370/afm.306
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: New models of care: building medical homes in empowered communities.

    Michener, J Lloyd

    North Carolina medical journal

    2007  Volume 68, Issue 3, Page(s) 172–175

    MeSH term(s) Community Health Services ; Community Participation ; Humans ; Interdisciplinary Communication ; Models, Organizational ; North Carolina ; Quality of Health Care
    Language English
    Publishing date 2007-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 422795-5
    ISSN 0029-2559
    ISSN 0029-2559
    Database MEDical Literature Analysis and Retrieval System OnLINE

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