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

描述（由申请人提供）：15年来，亚利桑那预防研究中心（AzPRC）为学术社区合作研究、培训和能力建设工作提供了一个伞型，以减少该州慢性疾病的健康差距。AzPRC基于实践的慢性疾病预防和控制研究基金会，重点关注生活在亚利桑那州边境社区的拉美裔人，这使我们能够为疾病预防控制中心的可打赢的营养之战做出实质性贡献。体育活动和肥胖。在此过程中，AzPRC的目标和目标将推动AzPRC人员和合作伙伴的现有努力，进一步推进国家慢性病预防和健康促进中心的使命“支持人们和社区预防慢性病，促进全民健康”，特别是通过我们的努力：1)整合跨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创造健康的工作、学习和娱乐场所的政策、系统和环境变化（PSE）努力；3)改善社区与临床的联系，以确保与文化相关的预防和促进工作的可及性和质量。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，以改善亚利桑那州-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方面的综合努力来实现这一目标；沟通和传播、培训和评价。AzPRC还将采用最先进和有效的方法，执行一项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卫生保健中心提供的预防方案模式，将初级保健机构与县卫生部门的社区服务联系起来，致力于为服务不足的人提供服务。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，并响应由《平价医疗法案》和其他政策努力推动的chw不断发展的报销机制，该项目在整个州的可持续性和可扩展性将是重点。

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.