Employing practitioner expertise in optimizing community healthcare systems

Employing practitioner expertise in optimizing community healthcare systems
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DOI:
10.1016/j.hjdsi.2018.08.003
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发表时间:
2019-09-01
影响因子:
2.5
通讯作者:
Schwarz, Ryan
Schwarz, Ryan
中科院分区:
医学4区
文献类型:
--
作者:
Ballard, Madeleine;Schwarz, Ryan

文献摘要

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为了利用社区卫生工作者的潜力,向贫困和边缘化人群提供卫生服务,避免后阿拉木图时期的陷阱,迫切需要更好地了解如何优化社区卫生工作者规划。认识到目前的学术证据尚未解决若干操作性问题,这一观点考虑了从业人员专业知识在优化社区卫生系统方面的作用,并强调了最近发表的一份报告的发现,该报告收集了15个国家的实施经验。该观点考虑了报告建议的社区卫生设计原则的应用以及对实施者、慈善家、政策制定者和学术研究人员的影响。
To harness the potential of community health workers (CHWs) to extend health services to poor and marginalized populations and avoid the pitfalls of the post-Alma-Ata period, there is an urgent need to better understand how CHW programs can be optimized. Understanding that several operational questions are unresolved by current academic evidence, this viewpoint considers the role of practitioner expertise in optimizing community health systems and highlights findings from a recently published report that captures implementation experience from 15 countries. The viewpoint considers applications of the report's suggested community health design principles and implications for implementers, philanthropists, policymakers, and academic researchers.