The influence of Community Access to Child Health (CATCH) program on community pediatrics

• Published in: Pediatrics (Evanston) 2014-01, Vol.133 (1), p.e205-e212
• Main Authors: Soares, Neelkamal S, Hobson, Wendy L, Ruch-Ross, Holly, Finneran, Maureen, Varrasso, Denia A, Keller, David
• Format: Article
• Language: English
• Subjects: Adolescent; Child; Child Advocacy; Child health; Child Health Services - organization & administration; Child Welfare; Child, Preschool; Children; Childrens health; Community; Community health services; Community Participation; Company business management; Evaluation; Financing, Organized; Health aspects; Health care access; Health Care Surveys; Health Promotion - organization & administration; Health Services Accessibility; Humans; Infant; Infant, Newborn; Management; Patient-Centered Care - organization & administration; Pediatrics; Pediatrics - organization & administration; Program Development; Program Evaluation; United States; Young Adult
• ISSN: 0031-4005; 1098-4275
• DOI: 10.1542/peds.2013-1471

The CATCH (Community Access to Child Health) Program, which supports pediatricians who engage with the community to improve child health, increase access to health care, and promote advocacy through small seed grants, was last evaluated in 1998. The objective was to describe the characteristics of CATCH grant recipients and projects and assess the community impact of funded projects. Prospective data was collected from CATCH applications (grantee characteristics, topic area and target population for projects funded from 2006-2012) and post-project 2-year follow-up survey (project outcomes, sustainability, and impact for projects funded from 2008 through 2010). From 2006 through 2012, the CATCH Program awarded 401 projects to grantees working mostly in general pediatrics. Eighty-five percent of projects targeted children covered by Medicaid, 33% targeted uninsured children, and 75% involved a Latino population. Main topic areas addressed were nutrition, access to health care, and medical home. Sixty-nine percent of grantees from 2008 to 2010 responded to the follow-up survey. Ninety percent reported completing their projects, and 86% of those projects continued to exist in some form. Grantees reported the development of community partnerships (77%) and enhanced recognition of child health issues in the community (73%) as the most frequent changes due to the projects. The CATCH Program funds community-based projects led by pediatricians that address the medical home and access to care. A majority of these projects and community partnerships are sustained beyond their original CATCH funding and, in many cases, are leveraged into additional financial or other community support.