Promotores de Salud and Community Health Workers An Annotated Bibliography
Promotores de Salud and Community Health Workers An Annotated Bibliography
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DOI：
10.1097/fch.0b013e31824991d2
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发表时间：
2012-04-01
影响因子：
2.3
通讯作者：
Westfall, John M.
中科院分区：
文献类型：
--
作者：
WestRasmus, Emma K.;Pineda-Reyes, Fernando;Westfall, John M.
对于美国服务不足和被剥夺权利的社区来说，几乎无法获得负担得起的、有效的医疗保健，这往往导致这些社区被排除在相关医疗信息和护理之外。在少数群体社区，护理障碍尤其突出，语言、传统和习俗、社会经济和受教育机会可能成为获取医疗保健信息和服务的额外障碍。这些因素导致了全国健康差距危机，不必要地使一些社区处于弱势地位，缺乏足够的预防和治疗机会。解决某些社区在医疗保健系统中面临的排斥问题的一个解决方案可能是促进健康的人（PdS）/社区卫生工作者（CHW），这是一种提供文化上合格的医疗保健服务的方法，近几十年来，其在主流医疗保健系统中的受欢迎程度一直在稳步增长。 PdS/CHW 以其广泛的名称和所解决的健康问题广泛而闻名，他们充当其所在社区和正规医疗保健系统之间的文化经纪人，并且可以在促进社区内的健康和福祉方面发挥至关重要的作用。创建此带注释的参考书目是为了让读者了解 CHW 方法在各种人群中的历史、定义、主要特征、实用性、结果和广泛潜力。本文件旨在作为有关 CHW/PdS 方法的大量信息的参考点，为那些希望改变医疗保健系统内的差异并改善服务不足的患者及其社区获得医疗保健的机会、质量和成本的人提供资源。 Promotores de Salud 是一个西班牙语术语，翻译过来就是健康促进者。女性卫生工作者可称为 Promotora，男性卫生工作者可称为 Promotor，两者的复数形式均为 Promotores。就本参考书目而言，术语社区卫生工作者和促进者可以互换使用。
For underserved and disenfranchised communities in the United States, affordable, effective health care can be nearly inaccessible, which often leads to the exclusion of these communities from relevant medical information and care. Barriers to care are especially salient in minority communities, where language, traditions and customs, socioeconomics, and access to education can serve as additional roadblocks to accessing health care information and services. These factors have contributed to a national health disparity crisis that unnecessarily places some communities in a vulnerable position without adequate prevention and treatment opportunities. One solution to the exclusion some communities face in the health care system may be the promotores de salud (PdS)/community health worker (CHW), an approach to culturally competent health care delivery whose popularity in the mainstream health care system has been steadily growing in recent decades. Known by a wide variety of names and broad in the spectrum of health issues they address, the PdS/CHW serves as cultural brokers between their own community and the formal health care system and can play a crucial role in promoting health and wellness within their community. This annotated bibliography was created to educate the reader about the history, definition, key features, utility, outcomes, and broad potential of the CHW approach in a variety of populations. Intended to serve as a reference point to a vast body of information on the CHW/PdS approach, this document is a resource for those wishing to effect change in the disparities within the health care system, and to improve the access to, quality, and cost of health care for underserved patients and their communities. Promotores de Salud is a Spanish term that translates to Health Promoter. A female health worker may be referred to as a Promotora, a male as a Promotor, and the plural of both is Promotores. For the purposes of this bibliography, the terms community health worker and promotores de salud may be used interchangeably.