A Mixed-Methods Study to Understand Community Health Worker Integration With Health Care Teams.

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2025-01-01 Epub Date: 2024-08-01 DOI:10.1097/JAC.0000000000000511
Jessica McCutcheon, Iris Cheng, Selina Quinones, Rohan Mahabaleshwarkar, Nancy Denizard-Thompson, Kimberly Wiseman, Yhenneko Taylor, Sherrie Wise Thomas, Deepak Palakshappa
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Abstract

Two models employed to integrate community health workers (CHWs) in health care settings are community-clinical linkages and employment within health care. Our objective was to understand the variability in how these models are implemented. We conducted a mixed-methods study across a large health system that included CHW focus groups and electronic health record data on patients referred to the teams. We identified three primary themes in the four focus groups (N = 29) and found differences in the demographics and health care use of the 1,097 patients. Both community- and clinically embedded CHWs reported addressing diverse patient needs; yet, challenges persist in integrating both models.

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通过混合方法研究了解社区医疗工作者与医疗团队的融合。
将社区保健员(CHWs)纳入医疗机构的两种模式是社区-临床联系和医疗机构内部聘用。我们的目标是了解这些模式在实施过程中的差异性。我们在一个大型医疗系统中开展了一项混合方法研究,其中包括社区保健员焦点小组和转介到小组的患者的电子健康记录数据。我们在四个焦点小组(N = 29)中确定了三个主要议题,并发现 1097 名患者的人口统计学和医疗保健使用情况存在差异。据报道,社区和临床社区保健工作者都能满足不同患者的需求;然而,在整合这两种模式方面仍存在挑战。
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来源期刊
JOURNAL OF AMBULATORY CARE MANAGEMENT
JOURNAL OF AMBULATORY CARE MANAGEMENT HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.10
自引率
4.30%
发文量
65
期刊介绍: The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.
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