Published online April 1, 2005
PEDIATRICS Vol. 115 No. 4 April 2005, pp. 1142-1147 (doi:10.1542/peds.2004-2825H)
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SUPPLEMENT ARTICLE

Evidence-Based Community Pediatrics: Building a Bridge From Bedside to Neighborhood

Lee M. Sanders, MD, MPH*, Thomas N. Robinson, MD, MPH{ddagger}, Lourdes Q. Forster, MD*, Katie Plax, MD§, Jeffrey P. Brosco, MD, PhD* and Arturo Brito, MD*

* Department of Pediatrics, University of Miami School of Medicine, Miami, Florida
{ddagger} Stanford Center for Research in Disease Prevention, Stanford University, Stanford, California
§ Washington University School of Medicine, St Louis, Missouri

The American Academy of Pediatrics policy statement "The Pediatrician's Role in Community Pediatrics" encourages all pediatricians to partner with their communities to create and disseminate innovative programs that improve child health. This article describes 4 pillars of a bridge to evidence-based community pediatrics for pediatricians interested in pursuing effective community action: (1) collaborate with the community to establish a specific, short-term, health-related goal; (2) identify evidence-based best practice(s) for achieving the shared goal; (3) collaborate with the community to adapt this best practice to the community's unique assets and constraints; and (4) evaluate the project by using appropriate expertise. Practical elements of each pillar are described and illustrated by specific examples from community-based efforts of pediatricians and are accompanied by specific resources to aid pediatricians in their future community health work.


Key Words: community-based participatory research • community pediatrics • evidence-based medicine

Abbreviations: AAP, American Academy of Pediatrics • CHAMP, Child Health Advocacy for Miami Pediatricians • CATCH, Community Access to Child Health • CBO, community-based organization • SPARK, Supporting Partnerships to Assure Ready Kids


Accepted Dec 22, 2004.


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