Community Health Worker Integration Into the Health Care Team Accomplishes the Triple Aim in a Patient-Centered Medical Home A Bronx Tale
Community Health Worker Integration Into the Health Care Team Accomplishes the Triple Aim in a Patient-Centered Medical Home A Bronx Tale
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DOI：
10.1097/jac.0000000000000011
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发表时间：
2014-01-01
影响因子：
2.3
通讯作者：
Reich, Douglas
中科院分区：
文献类型：
--
作者：
Findley, Sally;Matos, Sergio;Reich, Douglas
社区卫生工作者非常适合以患者为中心的医疗之家(PCMH)团队中的护理协调利基，但很少有案例研究详细说明如何实现这种整合。这项定性研究记录了纽约南布朗克斯的社区卫生工作者(CHW)是如何融入PCMH的。结果表明，整合与明确界定他们在护理团队中的护理协调角色、由资深CHW进行细致的招聘、培训和监督、共享护理管理团队的领导以及有案可查的金钱价值有关。通过帮助团队了解患者的背景、限制和偏好，他们帮助每个人真正专注于患者。
Community health workers are ideally suited to the care coordination niche within the patient-centered medical home (PCMH) team, but there are few case studies detailing how to accomplish this integration. This qualitative study documents how community health workers (CHWs) were integrated into a PCMH in South Bronx, New York. Results show that integration was linked to clear definition of their care coordination role within the care team, meticulous recruitment, training and supervision by a senior CHW, shared leadership of the care management team, and documented value for money. By helping the team understand patients' backgrounds, constraints, and preferences, they helped everyone genuinely focus on the patient.