A community health worker intervention to address the social determinants of health through policy change.
A community health worker intervention to address the social determinants of health through policy change.
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DOI：
10.1007/s10935-013-0335-y
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发表时间：
2014-04
期刊：
影响因子：
--
通讯作者：
Carvajal SC
中科院分区：
文献类型：
--
作者：
Ingram M;Schachter KA;Sabo SJ;Reinschmidt KM;Gomez S;De Zapien JG;Carvajal SC
力求可持续改善健康的社会决定因素的公共政策，如收入、教育、住房、粮食安全和邻里条件，可以产生积极、可持续的健康影响。本文描述了Acción Para la Salud的初步结果，这是一项公共卫生干预，来自五个卫生机构的社区卫生工作者（chw）让他们的社区参与到积极的系统和环境变化的过程中。Acción保健员接受了社区宣传方面的培训，并在制定战略宣传计划方面不断获得技术援助。Acción社区卫生工作者通过会议形式记录社区倡导活动，其中他们发现问题，制定解决方案，并描述系统和政策改变的努力。战略地图描述了宣传计划的步骤。调查结果表明，保健工作者努力发起有关影响健康的潜在社会决定因素和环境相关因素的讨论，并确定了改善邻里条件、创造社区机会和增加获得服务机会的解决方案。
Public policy that seeks to achieve sustainable improvements in the social determinants of health, such as income, education, housing, food security and neighborhood conditions, can create positive, sustainable health impacts. This paper describes preliminary results of Acción Para la Salud, a public health intervention in which Community Health Workers (CHWs) from five health agencies engage their community in the process of making positive systems and environmental changes. Acción CHWs were trained in community advocacy and received ongoing technical assistance in developing strategic advocacy plans. Acción CHWs documented community advocacy activities through encounter forms in which they identified problems, formulated solutions, and described systems and policy change efforts. Strategy maps described the steps of the advocacy plans. Findings demonstrate that CHWs worked to initiate discussions about underlying social determinants and environmental-related factors that impact health, and identified solutions that improve neighborhood conditions, create community opportunities, and increase access to services.
影响因子：
5.5
作者：
Anderson, LM;Scrimshaw, SC;Fielding, JE
通讯作者：
Fielding, JE
DOI：
10.2105/ajph.57.6.997
发表时间：
1967-01-01
期刊：
AMERICAN JOURNAL OF PUBLIC HEALTH AND THE NATIONS HEALTH
影响因子：
--
作者：
KENT, JA;SMITH, CH
通讯作者：
SMITH, CH
影响因子：
2.3
作者：
Rosenthal, E. Lee;Wiggins, Noelle;De Zapien, Jill Guernsey
通讯作者：
De Zapien, Jill Guernsey