FIGURE 8–1 The Community Health Improvement Process (CHIP).

SOURCE: IOM (1997b).

Time Estimates for Research

Time estimates for each of these phases are imprecise, but experience has shown that, at a minimum, each phase will take at least 2 years in a modest-size program. A specific example of community-based research in which academia has the potential to contribute in many ways is the Community Health Improvement Process discussed in Chapter 4 (see Figure 8–1).

Unfortunately, academic institutions have undervalued community-based participatory research. It is sometimes perceived as lacking in rigorous methodology because it cannot use the randomized, single-intervention



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