Early Lessons and Strategies from Statewide Efforts to Integrate Community Health Workers into Medicaid.
Early Lessons and Strategies from Statewide Efforts to Integrate Community Health Workers into Medicaid.
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DOI：
10.1353/hpu.2020.0064
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发表时间：
2020
影响因子：
1.4
通讯作者：
McConnell KJ
中科院分区：
文献类型：
--
作者：
George R;Gunn R;Wiggins N;Rowland R;Davis MM;Maes K;Kuzma A;McConnell KJ
2010年《平价医疗法案》为州医疗补助机构将社区卫生工作者（CHW）纳入其卫生系统提供了新的动力和资金机会。社区卫生工作者是值得信赖的社区成员，他们参加培训，以便他们能够在自己的社区促进健康。这项定性研究分享经验教训和战略，从俄勒冈州的早期努力，将社区卫生工作者纳入医疗补助与随之而来的融资，政策和基础设施问题。与16个协调护理组织（CCO）进行了关键线人访谈，并使用迭代，沉浸结晶方法进行了分析。协调护理组织发现，CHW整合是一个支持因素，为医疗补助注册成员导航健康和社会服务，教育成员的疾病状况，并促进成员参与初级保健。社区卫生福利一体化的障碍包括缺乏对社区卫生福利的作用及其对卫生系统的好处的了解，以及需要在资助和整合社区卫生福利服务方面提供更深入的指导和支持。
The 2010 Affordable Care Act provided new impetus and funding opportunities for state Medicaid agencies to integrate community health workers (CHWs) into their health systems. Community health workers are trusted community members who participate in training so they can promote health in their own communities. This qualitative study shares lessons and strategies from Oregon’s early efforts to integrate CHWs into Medicaid with concomitant financing, policy, and infrastructure issues. Key informant interviews were conducted with 16 Coordinated care organizations (CCO) and analyzed using an iterative, immersion-crystallization approach. Coordinated care organizations found CHW integration a supportive factor for Medicaid-enrolled members navigating health and social services, educating members about disease conditions, and facilitating member engagement in primary care. Barriers to CHW integration included a lack of understanding about CHW roles and their benefits to health systems, as well as a need for more intensive guidance and support on financing and integrating CHW services.
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DOI：
10.1016/j.hjdsi.2013.11.002
发表时间：
2014-09-01
影响因子：
2.5
作者：
McConnell, K. John;Chang, Anna Marie;Smith, Jeanene
通讯作者：
Smith, Jeanene
影响因子：
4.4
作者：
Rogers, Elizabeth A.;Manser, Sarah Turcotte;Call, Kathleen T.
通讯作者：
Call, Kathleen T.
影响因子：
2.3
作者：
Findley, Sally;Matos, Sergio;Reich, Douglas
通讯作者：
Reich, Douglas
DOI：
10.2105/ajph.60.10.1904
发表时间：
1970-01-01
期刊：
AMERICAN JOURNAL OF PUBLIC HEALTH AND THE NATIONS HEALTH
影响因子：
--
作者：
CAUFFMAN, JG;WINGERT, WA;HANES, B
通讯作者：
HANES, B
影响因子：
5.9
作者：
Payne, Julianne;Razi, Sima;Tardif-Douglin, Miriam
通讯作者：
Tardif-Douglin, Miriam