Building an academic-community partnered network for clinical services research: the Community Health Improvement Collaborative (CHIC)

Ethn Dis. 2006 Winter;16(1 Suppl 1):S3-17.


Objective: Community-based participatory research is recommended for research on health disparities and to improve uptake of clinical research findings. We describe the development of a multicenter consortium designed to support a community agency-academic partner infrastructure to support community-based, health-services research on multiple sources of health and healthcare disparities in local communities.

Design: We describe the development of the Los Angeles Community Health Improvement Collaborative (CHIC).

Results: The CHIC partners examined the research capacity and health priorities of its partners and developed a research agenda focused on four tracer conditions (depression, violence, diabetes, and obesity) and four areas for development of research capacity: public participation in all phases of research; understanding community and organizational context for clinical services interventions; practical clinical services trial methods; and advancing health information technology for clinical services research. The partners pooled resources to develop these areas for the tracer conditions.

Conclusions: The challenges of a participatory approach to community-based clinical services research go beyond the significant methodologic and operational issues for specific projects and include building a sustainable capacity for research, community programs, and partnership across diverse communities and stakeholder organizations even when funding sources are not fully aligned with these goals.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Community Participation*
  • Cooperative Behavior*
  • Depression
  • Diabetes Mellitus
  • Health Promotion
  • Health Services Research / economics
  • Health Services Research / organization & administration*
  • Humans
  • Los Angeles
  • Obesity
  • Organizational Case Studies
  • Program Development*
  • Public Health Informatics
  • Universities*
  • Violence