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Preventing Chronic Disease: Public Health Research, Practice and Policy

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Emerging Infectious Diseases Journal


Volume 5: No. 1, January 2008

Expanding the Delivery of Clinical Preventive Services Through Community Collaboration: The SPARC Model

In the current model, clinical preventive services are delivered mainly to community residents who are "patients" and visit a primary care physician.

Figure 1. Current Model for Delivery of Preventive Services.

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In the SPARC model, there is community-wide access to routine clinical preventive services. In addition to measures delivered in the clinical setting, residents receive routine vaccinations, screenings, and screening referrals from multiple locations in the community. SPARC helps organize and coordinate these activities, gathers and distributes outcomes data, and develops new outreach programs in collaboration with local medical, public health, and social service agencies.

Figure 2: SPARC Model for Delivery of Preventive Services

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Total Men Women
Previously Vaccinated 66.6 61.5 70.5
At Vote & Vax Clinic 7 8.5 6

Figure 4. Receipt of Pneumococcal Vaccination Among Adults Age >65 at Fayette County, GA, Vote & Vax Clinics, November 2006

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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.


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