"He Gave Me Spirit and Hope": Client Experiences with the Implementation of Community Health Worker Programs in HIV Care
"He Gave Me Spirit and Hope": Client Experiences with the Implementation of Community Health Worker Programs in HIV Care
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DOI：
10.1089/apc.2021.0085
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发表时间：
2021-08-01
影响因子：
4.9
通讯作者：
Martinez, Linda Sprague
中科院分区：
文献类型：
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作者：
Davoust, Melissa;Drainoni, Mari-Lynn;Martinez, Linda Sprague
社区卫生工作者是一线卫生工作人员的成员，是卫生服务和社区之间的中间人。在美国，chw的作用已经开始扩大，因为他们已经被证明可以改善慢性病护理的结果和减少不平等。本研究采用定性的方法来探讨社区卫生服务项目的服务对象的经验，以告知他们在艾滋病毒护理方面的实施。来自美国6个瑞安·怀特艾滋病毒/艾滋病项目护理机构的30名客户参加了个人半结构化访谈，以了解更多他们与CHW合作的经历。从客户的角度提出了四个关键主题。首先，chw体现了关键品质。客户认为健康护理员的一些品质包括关怀和支持，以及能够培养个人关系。其次，chw在客户所在的地方会见他们。与其他护理团队成员相比，客户认为CHW的方法更全面；他们强调，chw能够专注于当时需要的任何东西。第三，保健员在爱滋病护理队伍中扮演独特的角色。客户指出，chw有更多的时间用于互动；他们还认为chw代表着不同级别的权威。最后，卫生保健工作者影响了客户如何参与护理和获取资源。这包括授权客户在未来独立访问资源。总体而言，客户对卫生保健员的素质、方法、角色和对艾滋病毒护理经验的影响的看法表明，他们是护理团队的宝贵资源。
Community health workers (CHWs) are members of the frontline health workforce who serve as intermediaries between health services and communities. In the United States, the role of CHWs has begun to expand as they have been shown to improve outcomes and reduce inequities in care for chronic conditions. This study used qualitative methods to explore the experiences of clients in CHW programs to inform their implementation in HIV care. Thirty clients from 6 Ryan White HIV/AIDS Program care settings across the United States participated in individual semistructured interviews to learn more about their experiences working with a CHW. Four key themes arose from the client perspective. First, CHWs embodied key qualities. Some of the qualities clients attributed to CHWs included being caring and supportive, along with capable of fostering personal connections. Second, CHWs met clients where they were. Clients described the CHW approach as more holistic compared with other care team members; they emphasized CHWs were able to focus on whatever was needed in that moment. Third, CHWs occupied a unique role in the HIV care team. Clients noted CHWs had more time to dedicate to their interactions; they also saw CHWs as representing a different level of authority. Finally, CHWs influenced how clients engaged with care and accessed resources. This included empowering clients to access resources independently in the future. Overall, clients' perceptions of CHWs in terms of their qualities, approach, role, and influence on the HIV care experience suggest they are a valuable resource on the care team.