title: Challenges to research in urban community health centers.
abstract: Community health centers (CHCs) are important settings for research aimed at reducing health disparities. However, CHCs pose many challenges to research at patient, provider, and system levels. We summarized lessons learned from a multimethod, formative study to develop intervention strategies for improving colorectal cancer screening in CHCs, and make recommendations for future research. The call for research in "real world" settings such as CHCs must be matched with greater understanding of the challenges, as well as the resources to meet those challenges.
authors.affiliation: Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA. stephenie.lemon@umassmed.edu
authors.forename: Stephenie C
authors.initials: SC
authors.lastname: Lemon
authors.forename: Jane G
authors.initials: JG
authors.lastname: Zapka
authors.forename: Barbara
authors.initials: B
authors.lastname: Estabrook
authors.forename: Evan
authors.initials: E
authors.lastname: Benjamin
mesh_terms: D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000175:diagnosis; D003144:Communication Barriers; D003151:Community Health Centers / Q000458:organization & administration*; D005260:Female; D006302:Health Services Research / Q000379:methods*; D006630:Hispanic or Latino; D006801:Humans; D007256:Information Systems; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D011787:Quality of Health Care; D012107:Research Design; D014505:Urban Population