15 research outputs found
Harmful algal blooms and eutrophication : examining linkages from selected coastal regions of the United States
Author Posting. © Elsevier B.V., 2008. This is the author's version of the work. It is posted here by permission of Elsevier B.V. for personal use, not for redistribution. The definitive version was published in Harmful Algae 8 (2008): 39-53, doi:10.1016/j.hal.2008.08.017.Coastal waters of the United States (U.S.) are subject to many of the major harmful algal
bloom (HAB) poisoning syndromes and impacts. These include paralytic shellfish poisoning
(PSP), neurotoxic shellfish poisoning (NSP), amnesic shellfish poisoning (ASP), ciguatera
fish poisoning (CFP) and various other HAB phenomena such as fish kills, loss of submerged
vegetation, shellfish mortalities, and widespread marine mammal mortalities. Here, the
occurrences of selected HABs in a selected set of regions are described in terms of their
relationship to eutrophication, illustrating a range of responses. Evidence suggestive of
changes in the frequency, extent or magnitude of HABs in these areas is explored in the
context of the nutrient sources underlying those blooms, both natural and anthropogenic. In
some regions of the U.S., the linkages between HABs and eutrophication are clear and well
documented, whereas in others, information is limited, thereby highlighting important areas
for further research.Support was provided through the Woods Hole Center for Oceans
and Human Health (to DMA), National Science Foundation (NSF) grants OCE-9808173 and
OCE-0430724 (to DMA), OCE-0234587 (to WPC), OCE04-32479 (to MLP), OCE-0138544
(to RMK), OCE-9981617 (to PMG); National Institute of Environmental Health Sciences
(NIEHS) grants P50ES012742-01 (to DMA) and P50ES012740 (to MLP); NOAA Grants
NA96OP0099 (to DMA), NA16OP1450 (to VLT), NA96P00084 (to GAV and CAH),
NA160C2936 and NA108H-C (to RMK), NA860P0493 and NA04NOS4780241 (to PMG),
NA04NOS4780239-02 (to RMK), NA06NOS4780245 (to DWT). Support was also provided from the West Coast Center for Oceans and Human Health (to VLT and WPC), USEPA
Grant CR826792-01-0 (to GAV and CAH), and the State of Florida Grant S7701617826 (to
GAV and CAH)
Strategies for Achieving Whole-Practice Engagement and Buy-in to the Patient-Centered Medical Home
PURPOSE The current model of primary care in the United States limits physicians\u27 ability to offer high-quality care. The patient-centered medical home (PCMH) shows promise in addressing provision of high-quality care, but achieving a PCMH practice model often requires comprehensive organizational change. Guided by Solberg\u27s conceptual framework for practice improvement, which argues for shared prioritization of improvement and change, we describe strategies for obtaining organizational buy-in to and whole-staff engagement of PCMH transformation and practice improvement.
METHODS Semistructured interviews with 136 individuals and 7 focus groups involving 48 individuals were conducted in 20 small-to mid-sized medical practices in Pennsylvania during the first regional rollout of a statewide PCMH initiative. For this study, we analyzed interview transcripts, monthly narrative reports, and observer notes from site visits to identify discourse pertaining to organizational buy-in and strategies for securing buy-in from personnel. Using a consensual qualitative research approach, data were reduced, synthesized, and managed using qualitative data management and analysis software.
RESULTS We identified 13 distinct strategies used to obtain practice buy-in, reflecting 3 overarching lessons that facilitate practice buy-in: (1) effective communication and internal PCMH campaigns, (2) effective resource utilization, and (3) creation of a team environment.
CONCLUSION Our study provides a list of strategies useful for facilitating PCMH transformation in primary care. These strategies can be investigated empirically in future research, used to guide medical practices undergoing or considering PCMH transformation, and used to inform health care policy makers. Our study findings also extend Solberg\u27s conceptual framework for practice improvement to include buy-in as a necessary condition across all elements of the change process