Community Health Worker Integration Into the Health Care Team Accomplishes the Triple Aim in a Patient-Centered Medical Home A Bronx Tale

被引：63

作者：

Findley, Sally ^{[1
]}

Matos, Sergio ^{[2
]}

Hicks, April ^{[3
]}

Chang, Ji ^{[4
]}

Reich, Douglas ^{[5
]}

机构：

[1] Columbia Univ, Mailman Sch Publ Hlth, Dept Populat & Family Hlth, New York, NY 10027 USA

[2] Community Hlth Worker Network NYC, New York, NY USA

[3] True North Consulting LLC, New York, NY USA

[4] NYU, Ctr Minor Hlth Equ, New York, NY 10003 USA

[5] Bronx Lebanon Hosp Ctr, Dept Family Med, Bronx, NY USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2014年 / 37卷 / 01期

关键词：

care coordination; community health worker; medical home; patient-centered;

D O I：

10.1097/JAC.0000000000000011

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Community health workers are ideally suited to the care coordination niche within the patient-centered medical home (PCMH) team, but there are few case studies detailing how to accomplish this integration. This qualitative study documents how community health workers (CHWs) were integrated into a PCMH in South Bronx, New York. Results show that integration was linked to clear definition of their care coordination role within the care team, meticulous recruitment, training and supervision by a senior CHW, shared leadership of the care management team, and documented value for money. By helping the team understand patients' backgrounds, constraints, and preferences, they helped everyone genuinely focus on the patient.

引用

页码：82 / 91

页数：10

共 36 条

[1] Care Guides Employing Nonclinical Laypersons to Help Primary Care Teams Manage Chronic Disease [J].

Adair, Richard ;

Christianson, Jon ;

Wholey, Douglas R. ;

White, Katie ;

Town, Robert ;

Lee, Suhna ;

Britt, Heather ;

Lund, Peter ;

Lukasewycz, Anya ;

Elumba, Deborah .

JOURNAL OF AMBULATORY CARE MANAGEMENT, 2012, 35 (01) :27-37

[2] Improving Diabetes Care and Health Measures Among Hispanics Using Community Health Workers: Results From a Randomized Controlled Trial [J].

Babamoto, Kenneth S. ;

Sey, Kwa A. ;

Camilleri, Angela J. ;

Karlan, Vicki J. ;

Catalasan, Joana ;

Morisky, Donald E. .

HEALTH EDUCATION & BEHAVIOR, 2009, 36 (01) :113-126

[3] Community Health Workers Can Be a Public Health Force for Change in the United States: Three Actions for a New Paradigm [J].

Balcazar, Hector ;

Rosenthal, E. Lee ;

Brownstein, J. Nell ;

Rush, Carl H. ;

Matos, Sergio ;

Hernandez, Lorenza .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2011, 101 (12) :2199-2203

[4] A Randomized Community Intervention to Improve Hypertension Control among Mexican Americans: Using the Promotoras de Salud Community Outreach Model [J].

Balcazar, Hector G. ;

Byrd, Theresa L. ;

Ortiz, Melchor ;

Tondapu, Sumanth R. ;

Chavez, Monica .

JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED, 2009, 20 (04) :1079-1094

[5] Effectiveness of community health workers in the care of people with hypertension [J].

Brownstein, J. Nell ;

Chowdhury, Farah M. ;

Norris, Susan L. ;

Horsley, Tanya ;

Jack, Leonard, Jr. ;

Zhang, Xuanping ;

Satterfield, Dawn .

AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2007, 32 (05) :435-447

[6]

Bryant-Stephens T., 2009, AM J PUBLIC HLTH, V99, pS657, DOI DOI 10.2105/AJPH.2009.165423

[7]

Cherrington A, 2008, J HEALTH CARE POOR U, V19, P1044, DOI 10.1353/hpu.0.0077

[8]

Cherrington A, 2010, ETHNIC DIS, V20, P189

[9] Primary Care Practice Transformation is Hard Work Insights From a 15- year Developmental Program of Research [J].

Crabtree, Benjamin F. ;

Nutting, Paul A. ;

Miller, William L. ;

McDaniel, Reuben R. ;

Stange, Kurt C. ;

Jaen, Carlos Roberto ;

Stewart, Elizabeth .

MEDICAL CARE, 2011, 49 (12) :S28-S35

[10] Why The Nation Needs A Policy Push On Patient-Centered Health Care [J].

Epstein, Ronald M. ;

Fiscella, Kevin ;

Lesser, Cara S. ;

Stange, Kurt C. .

HEALTH AFFAIRS, 2010, 29 (08) :1489-1495

← 1 2 3 4 →