Integrating community health workers in early childhood well-child care: a statement from the Pediatric Academic Societies Maternal Child Health: First 1,000 days Special Interest Group.

IF 2 Q2 MEDICINE, GENERAL & INTERNAL
Tumaini Rucker Coker, Emily F Gregory, Mary McCord, Rushina Cholera, Hayes Bakken, Steve Chapman, Eimaan Anwar, Jennifer Lee, Shauntée Henry, Lisa J Chamberlain
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Abstract

This statement from the Pediatric Academic Societies Maternal Child Health: First 1,000 Days Special Interest Group provides an overview of the rationale, evidence, and key action steps needed to engage Community Health Workers (CHWs) into team-based well-child care (WCC) for families in low-income communities. CHWs have been defined as public health workers who have a trusted and valued connection to a community. Integrating CHWs into early childhood WCC can allow for greater cultural relevancy for families, reduce the burden on clinicians to provide the wide range of WCC services, many of which do not require the expertise of a high-level clinician, and improve preventive care services to families during the vulnerable but critical period of early childhood. There are evidence-based approaches to integrating CHWs into early childhood WCC, as well as payment models that can support them. Implementation and spread of these models will require collaboration and engagement across health systems, clinics, payors, and CHWs; flexibility for local adaptation of these models to meet the needs of clinics, practices, CHWs, and communities; publicly available training resources for CHW education; and research findings to guide effective implementation that incorporates parent and caregiver engagement as well as sustainable payment models.

将社区卫生工作者纳入幼儿健康护理:儿科学术协会母婴健康声明:头 1,000 天特别兴趣小组。
这份声明来自儿科学术协会母婴健康:前 1,000 天 "特别兴趣小组概述了让社区保健员 (CHW) 参与低收入社区家庭以团队为基础的儿童保健 (WCC) 所需的理由、证据和关键行动步骤。社区保健员被定义为与社区有值得信赖和重视的联系的公共卫生工作者。将 CHWs 纳入幼儿期 WCC 可以为家庭提供更多的文化相关性,减轻临床医生提供广泛的 WCC 服务的负担(其中许多服务并不需要高级临床医生的专业知识),并在幼儿期这个脆弱但关键的时期改善为家庭提供的预防性保健服务。将儿童保健工作者纳入儿童早期 WCC 有循证的方法,也有支持这些方法的支付模式。这些模式的实施和推广将需要卫生系统、诊所、付款人和儿童保健工作者之间的合作和参与;当地对这些模式的灵活调整,以满足诊所、实践、儿童保健工作者和社区的需求;公开可用的儿童保健工作者教育培训资源;以及指导有效实施的研究成果,其中包括家长和照顾者的参与以及可持续的付款模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
4.40
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