Community Health Worker-Led Community Clinical on the U.S. / Mexico Border: Lessons Learned.

Community Health Worker-Led Community Clinical on the U.S. / Mexico Border: Lessons Learned.
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DOI:
10.1353/cpr.2022.0009
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发表时间:
2022
影响因子:
1.1
通讯作者:
Wilkinson-Lee, Ada
Wilkinson-Lee, Ada
中科院分区:
医学4区
文献类型:
--
作者:
Lohr, Abby M.;Alves, Sophie S.;Coulter, Kiera;Redondo-Martinez, Floribella;Coronado, Gloria;David, Cassalyn;Espinoza, Cynthia;Ingram, Maia;Carvajal, Scott C.;Wilkinson-Lee, Ada

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社区临床联系 (CCL) 将公共卫生组织和医疗保健提供者联系起来,以更好地支持患者。社区卫生工作者 (CHW) 是与社区有特殊联系的优先人群的代表,可以领导 CCL。我们的目标是了解如何从干预实施者的角度开展社区卫生工作者主导的 CCL。我们与社区卫生工作者及其主管进行了焦点小组讨论,并在编码和分析数据时定期咨询社区合作伙伴。我们了解到,社区卫生工作者在得到同行、主管、机构和研究人员的支持时才能蓬勃发展。刚担任社区卫生工作者角色的主管应考虑寻求社区卫生工作者专业发展和绩效评估方面的培训。焦点小组参与者一致认为,通过平衡组织的优势和劣势,CHW 领导的 CCL 使患者受益,因为这种合作有助于他们更好地管理自己的健康。未来以社区卫生工作者为主导的 CCL 从业者应考虑如何在制度上最好地支持社区卫生工作者,以最大限度地为患者带来利益。
Community-Clinical Linkages (CCLs) connect public health organizations and healthcare providers to better support patients. Community Health Workers (CHWs), representatives from priority populations with special connections to their community, can lead CCLs. Our objective was to learn about how to conduct a CHW-led CCL from the perspectives of those implementing the intervention. We conducted focus groups with CHWs and their supervisors and regularly consulted community partners while coding and analyzing data. We learned that CHWs thrive when supported by peers, supervisors, institutions, and researchers. Supervisors - who are new to the CHW role - should consider seeking training in CHW professional development and performance evaluation. Focus group participants agreed that by balancing the strengths and weaknesses of their organization, CHW-led CCLs benefit patients because the collaboration helps them to better manage their health. Future CHW-led CCL practitioners should consider how to best institutionally support CHWs to maximize benefits for patients.
DOI: 10.1186/s12889-019-6725-1
发表时间: 2019-04-11
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