Measuring return on investment of outreach by community health workers
Measuring return on investment of outreach by community health workers
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DOI：
10.1353/hpu.2006.0052
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发表时间：
2006-02-01
影响因子：
1.4
通讯作者：
Wright, RA
中科院分区：
文献类型：
--
作者：
Whitley, EM;Everhart, RM;Wright, RA
社区卫生工作者(CHW)在改善卫生保健服务的可获得性、促进服务对象的知识和行为改变以及为改善个人健康状况作出贡献方面是有效的。然而，很少有外展项目评估社区卫生服务对卫生保健系统和政策的财务影响。采用纵向重复测量设计来评估丹佛健康社区之声雇用的社区卫生工作者外展服务的投资回报。在与CHW互动的9个月前和9个月后，对590名服务不足的男性的服务利用率、收费和报销进行了分析。初级和专科护理就诊增加，紧急护理、住院和门诊行为卫生保健利用率下降，导致每月无偿费用减少14,244美元。计划成本为每月6,229美元，ROI为2.28：1.00，每年节省95,941美元。这些数据提供了CHW对公共安全网系统做出的经济贡献的证据，并为有关计划可持续性的政策制定提供了参考。
Community health workers (CHWs) are effective in improving access to health care, promoting client knowledge and behavior change, and contributing to improved health status of individuals. However, few outreach programs have evaluated the financial impact of CHWs on health care systems and policies. A longitudinal repeated measures design was used to assess the return on investment (ROI) of outreach by CHWs employed by Denver Health Community Voices. Service utilization, charges and reimbursements for 590 underserved men were analyzed 9 months before and after interaction with a CHW. Primary and specialty care visits increased and urgent care, inpatient, and outpatient behavioral health care utilization decreased, resulting in a reduction of monthly uncompensated costs by $14,244. Program costs were $6,229 per month and the ROI was 2.28:1.00, a savings of $95,941 annually. These data provide evidence of economic contributions that CHWs make to a public safety net system and inform policy making regarding program sustainability.