{"title":"The Effectiveness of a Community Health Worker Program to Improve Chronic Disease Management in Immigrant and Minority Communities.","authors":"Kara Smith, Caitlin Washburn","doi":"10.1353/hpu.2025.a959109","DOIUrl":null,"url":null,"abstract":"<p><p>We investigate the health impacts of a community health worker (CHW) program in an urban clinic serving uninsured and underinsured patients, the vast majority of whom are non-English speaking and/or have recently immigrated to the United States. Over a three-year period between January 2019 and March 2022, 1,139 clinic patients were invited to participate in a CHW program based on evidence of chronic disease including obesity, hypertension, and diabetes. During a 90-day program, enrollees demonstrated statistically significant improvement in clinical values including weight (mean reduction of 2.8 pounds), hemoglobin A1c (mean reduction of 0.49), and blood pressure (mean systolic pressure reduction of 3.1 points). We offer initial evidence on the cost-effectiveness of this intervention relative to other means of achieving similar outcomes and suggest that CHW programs are a high-value intervention within immigrant and minority communities.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"480-492"},"PeriodicalIF":1.2000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Care for the Poor and Underserved","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1353/hpu.2025.a959109","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
We investigate the health impacts of a community health worker (CHW) program in an urban clinic serving uninsured and underinsured patients, the vast majority of whom are non-English speaking and/or have recently immigrated to the United States. Over a three-year period between January 2019 and March 2022, 1,139 clinic patients were invited to participate in a CHW program based on evidence of chronic disease including obesity, hypertension, and diabetes. During a 90-day program, enrollees demonstrated statistically significant improvement in clinical values including weight (mean reduction of 2.8 pounds), hemoglobin A1c (mean reduction of 0.49), and blood pressure (mean systolic pressure reduction of 3.1 points). We offer initial evidence on the cost-effectiveness of this intervention relative to other means of achieving similar outcomes and suggest that CHW programs are a high-value intervention within immigrant and minority communities.
期刊介绍：
The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
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