Moving upstream-health extension and primary care

Lyle J. Fagnan

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Health extension programs represent an opportunity for practice-based research networks (PBRNs) and primary care practices to develop collaborations reaching beyond the clinic walls to address the upstream social determinants of health and engage in community-based research. The Health Extension Regional Officers (HEROs) program at the University of New Mexico described in this issue of the JABFM is an innovative model with a bidirectional approach to linking academic health centers to communitybased practices and organizations. Health extension programs are local, influenced by history, relationships, and support. Oregon's health extension workforce represents a diverse group that includes practice facilitators, community health workers, and Cooperative Extension agents. PBRNs are measuring success in terms of collaboration across a spectrum of health activities. The Oregon Rural Practicebased Research Network uses a "Four Pillars" model of community engagement, practice transformation, research, and education to involve researchers, health policy experts, educators, and health extension workers to improve community health.

Original languageEnglish (US)
Pages (from-to)10-12
Number of pages3
JournalJournal of the American Board of Family Medicine
Issue number1
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice


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