Efficacy and Cost Effectiveness of Community Health Worker Models in Addressing Clinical Care and Health Metrics among Under-served Hispanics with Risk Factors for Diabetes

社区卫生工作者模型在解决具有糖尿病危险因素的服务不足的西班牙裔患者的临床护理和健康指标方面的功效和成本效益

• 批准号: 9128415
• 负责人: SCOTT C CARVAJAL
• 金额: $ 114.45万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-30 至 2019-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9128415
• 关键词: Efficacy; Cost; Effectiveness; Community; Health

DESCRIPTION (provided by applicant): For over 15 years, the Arizona Prevention Research Center (AzPRC) has provided an umbrella for academic- community collaborative research, training and capacity building efforts to reduce health disparities in chronic disease in the state The AzPRC foundation of practice-based research on chronic disease prevention and control, with a focus on Latinos living in Arizona border communities, well positions us to substantively contribute to CDC's winnable battle of nutrition, physical activity and obesity. In doing so, AzPRC goals and objectives will carry forward existing efforts of AzPRC personnel and partners to further the National Center for Chronic Disease Prevention and Health Promotion's mission "to support people and communities in preventing chronic disease and promoting health for all", specifically through our efforts to: 1) integrating evidence-based strategies across health systems; 2) working with public health systems to apply and evaluate policy, systems & environmental change (PSE) efforts designed to create healthy places for people to work, learn and play; and 3) improving community-clinical linkages to ensure access to, and quality of, culturally relevant prevention and promotion efforts. Over the next five years the AzPRC will work with the Arizona Department of Health Services, County Health Departments, Federally Qualified Health Centers and other community organizations to improve the health and wellbeing of communities on the Arizona-Sonora Border and statewide. The AzPRC will achieve this goal through the integrated impact of efforts in infrastructure, community engagement, partnering and technical assistance; communication and dissemination, training, and evaluation. The AzPRC, using state of the art and efficient methodologies, will also execute a rigorous practice- based Public Health research project that will identify evidence-based guidelines for Community Health Worker (CHW) practices to address chronic disease and interrelated mental health needs, and translate these findings into an implemented and evaluated CHW-delivered preventive program model linking primary care settings dedicated to reaching the under-served with community services of county health departments. In the latter stages of this research, guiding by our prior successful statewide public health system-based efforts and being responsive to evolving reimbursement mechanism of CHWs promoted by the Affordable Care Act and other policy efforts, the sustainability and scalable of this program throughout the State will be focal.

描述（申请人提供）：15年来，亚利桑那州预防研究中心（AzPRC）为学术-社区合作研究，培训和能力建设工作提供了一个保护伞，以减少该州慢性病的健康差距。很好地使我们能够为疾病预防控制中心的营养、体育活动和肥胖的胜利之战做出实质性的贡献。在这样做的过程中，AzPRC的目标和目的将继续AzPRC工作人员和合作伙伴的现有努力，以进一步推进国家慢性病预防和健康促进中心的使命“支持人民和社区预防慢性病和促进全民健康”，特别是通过我们的努力：1）整合整个卫生系统的循证战略; 2）与公共卫生系统合作，应用和评估旨在为人们工作，学习和娱乐创造健康场所的政策，系统和环境变化（PSE）工作;以及3）改善社区-临床联系，以确保获得文化相关的预防和宣传工作的质量。在接下来的五年里，AzPRC将与亚利桑那州卫生服务部，县卫生部门，联邦合格卫生中心和其他社区组织合作，改善亚利桑那州-索诺拉边境和全州社区的健康和福祉。AzPRC将通过在基础设施、社区参与、伙伴关系和技术援助、沟通和传播、培训和评估方面的综合影响来实现这一目标。AzPRC还将利用最先进的技术和有效的方法，执行一个严格的基于实践的公共卫生研究项目，该项目将为社区卫生工作者（CHW）的实践确定循证指南，以解决慢性病和相关的心理健康需求，并将这些发现转化为实施和评估的CHW提供的预防计划模型，该模型将初级保健环境与致力于帮助在县卫生部门的社区服务中服务。在这项研究的后期阶段，在我们之前成功的全州公共卫生系统为基础的努力的指导下，并对《平价医疗法案》和其他政策努力推动的不断发展的CHW报销机制做出反应，整个州的可持续性和可扩展性将成为焦点。