Introduction of a community health worker diabetes coach improved glycemic control in an urban primary care clinic

Objective To model cost and benefit of a national community health worker workforce. Design Modelling exercise based on all general practices in England. Setting United Kingdom National Health Service Primary Care. Participants Not applicable. Data sources Publicly available data on general practice demographics, population density, household size, salary scales and screening and immunisation uptake. Main outcome measures We estimated numbers of community health workers needed, anticipated workload and likely benefits to patients. Results Conservative modelling suggests that 110,585 community health workers would be needed to cover the general practice registered population in England, costing £2.22bn annually. Assuming community health workerss could engage with and successfully refer 20% of eligible unscreened or unimmunised individuals, an additional 753,592 cervical cancer screenings, 365,166 breast cancer screenings and 482,924 bowel cancer screenings could be expected within respective review periods. A total of 16,398 additional children annually could receive their MMR1 at 12 months and 24,716 their MMR2 at five years of age. Community health workerss would also provide home-based health promotion and lifestyle support to patients with chronic disease. Conclusion A scaled community health worker workforce integrated into primary care may be a valuable policy alternative. Pilot studies are required to establish feasibility and impact in NHS primary care.

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Formerly Incarcerated Community Health Workers Engaging Individuals Returning From Incarceration Into Primary Care: Results From the Transition Clinic Network

Frontiers in Public Health ◽

10.3389/fpubh.2021.681128 ◽

2021 ◽

Vol 9 ◽

Author(s):

Jenerius A. Aminawung ◽

Tyler D. Harvey ◽

Jerry Smart ◽

Joseph Calderon ◽

Anna Steiner ◽

...

Keyword(s):

Primary Care ◽

Health Outcomes ◽

Community Health ◽

Community Health Workers ◽

Health Workers ◽

Primary Care Clinic ◽

Social Needs ◽

Care Clinic ◽

Primary Care Teams ◽

Improve Health

Over half a million individuals return from United States prisons and millions more from jails every year, many of whom with complex health and social needs. Community health workers (CHWs) perform diverse roles to improve health outcomes in disadvantaged communities, but no studies have assessed their role as integrated members of a primary care team serving individuals returning from incarceration. Using data from participants who received primary care through the Transitions Clinic Network, a model of care that integrates CHWs with a lived experienced of incarceration into primary care teams, we characterized how CHWs address participant health and social needs during interactions outside of clinic visits for 6 months after participants established primary care. Among the 751 participants, 79% had one or more CHW interactions outside of the clinic documented. Participants with more comorbid conditions, longer stays during their most recent incarceration, and released with a prescription had more interactions with CHWs compared to those with fewer comorbidities, shorter stays, and no prescription at release. Median number of interactions was 4 (interquartile range, IQR 2–8) and 56% were in person. The most common issues addressed (34%) were social determinants of health, with the most common being housing (35%). CHWs working in interdisciplinary primary care teams caring for people with histories of incarceration perform a variety of functions for clients outside of scheduled primary care visits. To improve health outcomes among disadvantaged populations, CHWs should be able to work across multiple systems, with supervision and support for CHW activities both in the primary care clinic and within the community.

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Abstract A50: Educating women about cancer clinical trials: The impact of a community health educator intervention in a primary care clinic

10.1158/1538-7755.disp13-a50 ◽

2014 ◽

Author(s):

Christine M. Gunn ◽

Sharon K. Bak ◽

Tracy A. Battaglia

Keyword(s):

Primary Care ◽

Clinical Trials ◽

Community Health ◽

Primary Care Clinic ◽

Cancer Clinical Trials ◽

Health Educator ◽

Care Clinic ◽

The Impact

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ENDO ECHO IMPROVES PRIMARY CARE PROVIDER AND COMMUNITY HEALTH WORKER SELF-EFFICACY IN COMPLEX DIABETES MANAGEMENT IN MEDICALLY UNDERSERVED COMMUNITIES

Endocrine Practice ◽

10.4158/ep-2017-0079 ◽

2018 ◽

Vol 24 (1) ◽

pp. 40-46 ◽

Cited By ~ 16

Author(s):

Matthew F. Bouchonville ◽

Brant W. Hager ◽

Jessica B. Kirk ◽

Clifford R. Qualls ◽

Sanjeev Arora

Keyword(s):

Primary Care ◽

Community Health ◽

Health Worker ◽

Community Health Worker ◽

Care Provider ◽

Primary Care Provider ◽

Self Efficacy ◽

Diabetes Management ◽

Medically Underserved ◽

Complex Diabetes

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How to Diagnose and Manage “Difficult” Patients - Development of a Workshop for Interprofessional Audience

European Psychiatry ◽

10.1016/s0924-9338(11)72736-5 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 1031-1031

Author(s):

D. Kljenak

Keyword(s):

Primary Care ◽

Community Health ◽

Community Health Centers ◽

Primary Care Clinic ◽

Primary Care Providers ◽

Pilot Program ◽

Health Providers ◽

Care Providers ◽

Difficult Patients ◽

Care Clinic

IntroductionMore than 15% of patients who present to a primary care clinic are considered “difficult” yet interprofessional members of primary care clinics receive little training on how to diagnose and manage these patients.ObjectivesBecome familiar with successful method of workshop development on how to diagnose and manage “difficult” patients to interprofessional audience of six community health centers.AimsThe aim of the workshop was to enhance primary care providers’ capacity to diagnose and manage “difficult” patients as well as serve as a pilot program for a larger conference on managing “difficult” patients.MethodsA half-day workshop was designed to fill this perceived need of community health providers to learn how to diagnose and manage “difficult” patients. The workshop consisted of didactic presentation and case based small group learning.This workshop served as a pilot program for the development of larger conference for community providers on managing “difficult” patients.ResultsThe workshop was evaluated by participants. 100% of respondents agreed that the workshop was relevant to their work and 87.5% of respondents reported that the workshop will alter their clinical practice.ConclusionThe workshop has met participants’ perceived learning needs as well as served as a pilot program for a larger conference on managing difficult patients.

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