Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States.

IF 21.4 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Annual Review of Public Health Pub Date : 2023-04-03 DOI:10.1146/annurev-publhealth-071521-031648
Molly Knowles, Aidan P Crowley, Aditi Vasan, Shreya Kangovi
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引用次数: 2

Abstract

Community health workers (CHWs) have worked in a variety of settings in the United States for more than 70 years and are increasingly recognized as an essential health workforce. CHWs share life experience with the people they serve and have firsthand knowledge of the causes and impacts of health inequity. They provide a critical link between marginalized communities and health care and public health services. Several studies have demonstrated that CHWs can improve the management of chronic conditions, increase access to preventive care, improve patients' experience of care, and reduce health care costs. CHWs can also advance health equity by addressing social needs and advocating for systems and policy change. This review provides a history of CHW integration with health care in the United States; describes evidence of the impact of CHW programs on population health, experience, costs of care, and health equity; and identifies considerations for CHW program expansion.

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美国社区卫生工作者与卫生保健和公共卫生的整合和有效性。
社区卫生工作者(CHWs)已经在美国的各种环境中工作了70多年,并且越来越被认为是必不可少的卫生人力。卫生保健员与他们所服务的人分享生活经验,并对卫生不平等的原因和影响有第一手的了解。它们在边缘化社区与卫生保健和公共卫生服务之间提供了重要联系。几项研究表明,卫生保健中心可以改善慢性病的管理,增加获得预防性保健的机会,改善患者的护理体验,并降低卫生保健成本。卫生工作者还可以通过解决社会需求和倡导制度和政策变革来促进卫生公平。这篇综述提供了CHW与美国医疗保健整合的历史;描述卫生保健项目对人口健康、经验、护理成本和卫生公平影响的证据;并确定CHW项目扩展的考虑因素。
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来源期刊
Annual Review of Public Health
Annual Review of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
26.60
自引率
1.40%
发文量
36
审稿时长
>12 weeks
期刊介绍: The Annual Review of Public Health has been a trusted publication in the field since its inception in 1980. It provides comprehensive coverage of important advancements in various areas of public health, such as epidemiology, biostatistics, environmental health, occupational health, social environment and behavior, health services, as well as public health practice and policy. In an effort to make the valuable research and information more accessible, the current volume has undergone a transformation. Previously, access to the articles was restricted, but now they are available to everyone through the Annual Reviews' Subscribe to Open program. This open access approach ensures that the knowledge and insights shared in these articles can reach a wider audience. Additionally, all the published articles are licensed under a CC BY license, allowing users to freely use, distribute, and build upon the content, while giving appropriate credit to the original authors.
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