Mechanisms for Community Health Worker Action on Patient-, Institutional-, and Community-Level Barriers to Primary Care in a Safety-Net Setting

2022 ◽  
Vol 45 (1) ◽  
pp. 22-35
Author(s):  
Savanna L. Carson ◽  
Clemens Hong ◽  
Heidi Behforouz ◽  
Emily Chang ◽  
Lydia Z. Dixon ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Safety Net ◽  
Community Level

scholarly journals Integrating a nationally scaled workforce of community health workers in primary care: a modelling study

2018 ◽  
Vol 111 (12) ◽  
pp. 453-461 ◽  
Author(s):  
Benedict Hayhoe ◽  
Thomas E Cowling ◽  
Virimchi Pillutla ◽  
Priya Garg ◽  
Azeem Majeed ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Community Health ◽  
Health Worker ◽  
Community Health Workers ◽  
Community Health Worker ◽  
Health Workers ◽  
Pilot Studies ◽  
Cancer Screenings ◽  
Home Based

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.

scholarly journals Long-Term Impact of a Postdischarge Community Health Worker Intervention on Health Care Costs in a Safety-Net System

2017 ◽  
Vol 52 (6) ◽  
pp. 2061-2078 ◽  
Author(s):  
Alison A. Galbraith ◽  
David J. Meyers ◽  
Dennis Ross-Degnan ◽  
Marguerite E. Burns ◽  
Catherine E. Vialle-Valentin ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Worker ◽  
Health Care Costs ◽  
Community Health Worker ◽  
Safety Net ◽  
Long Term Impact ◽  
Care Costs

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

2021 ◽  
Vol 21 ◽  
pp. 101267
Author(s):  
Chad M. Coleman ◽  
Andrew S. Bossick ◽  
Yueren Zhou ◽  
Linda Hopkins-Johnson ◽  
Mira G. Otto ◽  
...  
Keyword(s):  
Primary Care ◽  
Glycemic Control ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Primary Care Clinic ◽  
Care Clinic

Documenting Community Health Worker Roles in Primary Care

2017 ◽  
Vol 40 (4) ◽  
pp. 305-315 ◽  
Author(s):  
Kerstin M. Reinschmidt ◽  
Maia Ingram ◽  
Stephanie Morales ◽  
Samantha J. Sabo ◽  
John Blackburn ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker

scholarly journals A Pilot Study of the ¡Vivir Mi Vida! Lifestyle Intervention for Rural-Dwelling, Late-Midlife Latinos: Study Design and Protocol

2018 ◽  
Vol 39 (1) ◽  
pp. 5-13
Author(s):  
Stacey L. Schepens Niemiec ◽  
Jeanine Blanchard ◽  
Cheryl L. P. Vigen ◽  
Jenny Martínez ◽  
Laura Guzmán ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Community Health ◽  
Health Worker ◽  
Lifestyle Intervention ◽  
Community Health Worker ◽  
Health Workers ◽  
Occupational Therapist ◽  
Post Intervention ◽  
Late Midlife

Older, rural-dwelling Latinos face multiple health disparities. We describe the protocol of a pilot study of a community health worker–occupational therapist-led lifestyle program, ¡Vivir Mi Vida! ( ¡VMV!), designed for delivery in primary care and adapted for late-midlife, Latino rural-living patients. Using mixed methods, we collected feasibility, acceptability, and preliminary efficacy data on ¡VMV!. Forty 50- to 64-year-old Latinos participated in a 16-week lifestyle intervention led by a community health worker–occupational therapist team. We conducted pre- and post-intervention assessments to evaluate the efficacy of ¡VMV! in improving psychosocial and clinical health outcomes. Focus groups and interviews were held post-intervention with participants and key stakeholders to assess feasibility and acceptability. This is the first trial designed to evaluate a lifestyle intervention that includes collaboration between occupational therapists and community health workers within primary care. The detailed description of methodology promotes research transparency and reproducibility of a community health worker–occupational therapist-led lifestyle intervention.

scholarly journals Who is not linked to primary care public health facilities for cardiovascular disease prevention, and why-not: A community based follow up study from urban slums in India

2020 ◽  
Author(s):  
Abhijit P Pakhare ◽  
Ankur Joshi ◽  
Rasha Anwar ◽  
Khushbu Dubey ◽  
Sanjeev Kumar ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Treatment Initiation ◽  
Health Centre ◽  
Health Facilities ◽  
Community Based ◽  
Public Health Facilities

We designed and conducted a community based longitudinal study in 16 urban slum clusters in context of a community health worker (CHW) led screening and preventive therapy initiation initiative for CVD prevention. Linkage to public health systems primary care facilities was a key outcome indicator for this initiative. In this paper, we have investigated predictors and barriers to non-linkage. CHWs screened all adults aged 30 years through for hypertension as well as diabetes. Referrals were advised and facilitated to nearby Urban Primary Health Centre (PHC) clinic for either treatment initiation or continuation or optimization. CHWs screened a total of 6174 individuals, and physicians identified 1449 participants (23.46%; 95% CI 22.42-24.54) as high-risk who required linkage to public-health facilities for pharmacotherapy . Out of these, 943(65%) attended health facilities with 801(55.2 %) being adherent to pharmacotherapy. Those who were not linked were young men belonging to low socio-economic position, living farther from UPHC, engaged late by CHW and identified to be in denial mode and reported lack of family support. This study highlights importance of early engagement through CHWs after positive screening, necessity to address denial of newly diagnosed and increase male participation in order to reduce detection to treatment initiation gap. Keywords- hypertension, diabetes, adherence, community health worker, cardio vascular diseases, population-based screening

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