Community Health Workers Then and Now An Overview of National Studies Aimed at Defining the Field

Community Health Workers Then and Now An Overview of National Studies Aimed at Defining the Field
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DOI:
10.1097/jac.0b013e31821c64d7
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发表时间:
2011-07-01
影响因子:
2.3
通讯作者:
De Zapien, Jill Guernsey
De Zapien, Jill Guernsey
中科院分区:
其他
文献类型:
--
作者:
Rosenthal, E. Lee;Wiggins, Noelle;De Zapien, Jill Guernsey

文献摘要

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本文对美国社区卫生工作者(CHW)领域历时15年的3项全国性研究进行了比较和对比。调查结果涵盖了三个研究的四个重叠领域:CHW人口统计、核心角色和能力、培训和资格认证、职业发展和劳动力问题。讨论了对未来研究、实践和政策发展的影响。作者观察到,虽然医疗改革有可能增加对卫生保健工作者的资助和认可,但至关重要的是,政策支持卫生保健工作者的全部角色,包括卫生保健工作者作为变革推动者的角色,以便卫生保健工作者充分发挥其改善卫生结果、减少卫生差距和促进社会正义的潜力。
This article compares and contrasts 3 national studies of the US Community Health Worker (CHW) field spanning 15 years. Findings cover 4 areas of overlap among the 3 studies: CHW Demographics, Core Roles and Competencies, Training and Credentialing, and Career Advancement and Workforce Issues. Implications for the future development of research, practice, and policy are discussed. Authors observe that while health care reform has the potential for increasing funding and recognition of CHWs, it is essential that policies support the full range of CHW roles, including CHWs role as change agents, so that CHWs achieve their full potential to improve health outcomes, reduce health disparities, and work for social justice.