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"By Us for Us": Lessons Learned in Developing a National Training and Technical Assistance Center by and for CHWs. "由我们为我们"：由社区保健工作者和为社区保健工作者建立国家培训和技术援助中心的经验教训。
IF 1.6
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-10-01 Epub Date: 2024-08-23 DOI: 10.1097/JAC.0000000000000506
Ashley Wennerstrom, Kelsey N Witmeier, Kira Wortmann, Lisa Renee Holderby-Fox, Catherine G Haywood, Sherri L Ohly
{"title":"\"By Us for Us\": Lessons Learned in Developing a National Training and Technical Assistance Center by and for CHWs.","authors":"Ashley Wennerstrom, Kelsey N Witmeier, Kira Wortmann, Lisa Renee Holderby-Fox, Catherine G Haywood, Sherri L Ohly","doi":"10.1097/JAC.0000000000000506","DOIUrl":"10.1097/JAC.0000000000000506","url":null,"abstract":"<p><p>In 2021, the Centers for Disease Control and Prevention (CDC) funded 67 health departments to implement community health worker (CHW) programs to enhance COVID-19 response. The CDC also funded a unique CHW-led Technical Assistance and Training (TTA) Center called Envision, which supported health departments to implement CHW programs and promote CHW workforce sustainability. After 1 year, Envision evaluators interviewed Envision staff to assess barriers and facilitators in developing the Center and the degree to which CHW leadership was operationalized. Thematic analysis revealed 3 themes regarding relationships, CHW values in practice, and operational challenges. Findings informed program updates. CHWs, funders, and policymakers may learn from these experiences.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"215-227"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Journal of Ambulatory Care Management Thanks Our Reviewers. 门诊护理管理》杂志感谢我们的审稿人。
IF 1.6
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-10-01 Epub Date: 2024-08-23 DOI: 10.1097/JAC.0000000000000512
{"title":"The Journal of Ambulatory Care Management Thanks Our Reviewers.","authors":"","doi":"10.1097/JAC.0000000000000512","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000512","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"47 4","pages":"214"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Association Between Hospital-Based Food Pantry Use and Subsequent Emergency Department Utilization Among Medicaid Patients With Diabetes. 医疗补助计划糖尿病患者使用医院食品储藏室与随后使用急诊科之间的关系。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-15 DOI: 10.1097/JAC.0000000000000499
Kenneth Lim, Kevin H Nguyen, Demetri Goutos, Paul R Shafer, Pablo Buitron de la Vega, Megan B Cole
{"title":"The Association Between Hospital-Based Food Pantry Use and Subsequent Emergency Department Utilization Among Medicaid Patients With Diabetes.","authors":"Kenneth Lim, Kevin H Nguyen, Demetri Goutos, Paul R Shafer, Pablo Buitron de la Vega, Megan B Cole","doi":"10.1097/JAC.0000000000000499","DOIUrl":"10.1097/JAC.0000000000000499","url":null,"abstract":"<p><p>We explored the association between the use of a hospital-based food pantry and subsequent emergency department (ED) utilization among Medicaid patients with diabetes in a large safety-net health system. Leveraging 2015-2019 electronic health record data, we used a staggered difference-in-differences approach to measure changes in ED use before vs after food pantry use. Food pantry use was associated with a 7.3 percentage point decrease per patient per quarter (95% confidence interval, -13.8 to -0.8) in the probability of subsequent ED utilization ( P = .03). Addressing food insecurity through hospital-based food pantries may be one mechanism for reducing ED use among low-income patients with diabetes.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"122-133"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Engaging Community Health Workers in Primary Care Practices: Provider Understanding of Roles, Benefits, and Barriers. 让社区保健工作者参与初级保健实践：提供者对角色、益处和障碍的理解。
IF 1.6
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-22 DOI: 10.1097/JAC.0000000000000501
Elizabeth A Rohan, Julie S Townsend, Andrea Torres Bermudez, Hope L Thompson, Dawn M Holman, Avid Reza, Felicia Solomon Tharpe, Ashley Wennerstrom
{"title":"Engaging Community Health Workers in Primary Care Practices: Provider Understanding of Roles, Benefits, and Barriers.","authors":"Elizabeth A Rohan, Julie S Townsend, Andrea Torres Bermudez, Hope L Thompson, Dawn M Holman, Avid Reza, Felicia Solomon Tharpe, Ashley Wennerstrom","doi":"10.1097/JAC.0000000000000501","DOIUrl":"10.1097/JAC.0000000000000501","url":null,"abstract":"<p><p>Community health workers (CHWs) are increasingly addressing health disparities in primary care settings; however, there is little information about how primary care practitioners (PCPs) interact with CHWs or perceive CHW roles. We examined PCP engagement with CHWs in adult primary care settings. Overall, 55% of 1504 PCPs reported working with CHWs; involvement with CHWs differed by some PCP demographic and practice-related factors. While PCPs perceived CHWs as engaging in most nationally endorsed CHW roles, they identified several barriers to integrating CHWs into care teams. Findings can inform ongoing efforts to advance health equity through integrating CHWs into primary care practices.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"154-167"},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Harlem Health Advocacy Partners: A Local Health Department's Place-Based Community Health Worker Program. 哈莱姆健康倡导合作伙伴：一个地方卫生局基于地方的社区保健员计划。
IF 1.6
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-27 DOI: 10.1097/JAC.0000000000000497
Rachel Dannefer, Lois Seidl, Elizabeth Drackett, Adam Wohlman, Safiya Campbell, Diana Herrera, Carrie Sealy, Veronica Perez, Andrea Mata, Juan Pinzon, Nadia Islam, Lorna E Thorpe, La'Shawn Brown-Dudley, Noel Manyindo
{"title":"Harlem Health Advocacy Partners: A Local Health Department's Place-Based Community Health Worker Program.","authors":"Rachel Dannefer, Lois Seidl, Elizabeth Drackett, Adam Wohlman, Safiya Campbell, Diana Herrera, Carrie Sealy, Veronica Perez, Andrea Mata, Juan Pinzon, Nadia Islam, Lorna E Thorpe, La'Shawn Brown-Dudley, Noel Manyindo","doi":"10.1097/JAC.0000000000000497","DOIUrl":"10.1097/JAC.0000000000000497","url":null,"abstract":"<p><p>In January 2015, the New York City Department of Health and Mental Hygiene launched Harlem Health Advocacy Partners (HHAP), a place-based initiative to demonstrate the capacity of a CHW workforce to improve the health of residents of public housing. The long-term goal of HHAP is to improve the population health of residents of public housing in East and Central Harlem and to close racial gaps in health and social outcomes. A variety of evaluation approaches have been used to assess the initiative. This paper describes the HHAP model and methods for evaluating the program.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"168-186"},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11142885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Federally Qualified Health Centers' Screening for Social Risk Factors and Health Outcomes. 联邦合格保健中心的社会风险因素筛查和健康结果。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-15 DOI: 10.1097/JAC.0000000000000494
Ganisher Davlyatov, Seongwon Choi, Nancy M Borkowski, Kristine R Hearld, Monica Aswani
{"title":"Federally Qualified Health Centers' Screening for Social Risk Factors and Health Outcomes.","authors":"Ganisher Davlyatov, Seongwon Choi, Nancy M Borkowski, Kristine R Hearld, Monica Aswani","doi":"10.1097/JAC.0000000000000494","DOIUrl":"10.1097/JAC.0000000000000494","url":null,"abstract":"<p><p>Federally Qualified Health Centers (FQHCs) are ideally positioned to identify and address health-related social needs, but little is understood about the relationship between social risk factor (SRF) screening and health outcomes. We studied 1352 FQHCs from the 2019 Uniform Data System. Ordinary least squares regression was used to estimate the relationship between SRF screening and the percentage of patients with adequately controlled diabetes and hypertension. Results show 71% of the FQHCs in the sample collected SRFs. FQHCs' screened for SRFs had higher percentages of patients with adequately controlled diabetes (69.5% vs 67.0%, P < .001) and hypertension (63.8% vs 59.4%, P < .001) relative to FQHCs not collecting SRFs.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"113-121"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Special Issue: The Role of Health Systems and Community Partners in Addressing Social Needs of Patients and Communities. 特刊：医疗系统和社区合作伙伴在满足患者和社区社会需求方面的作用。
IF 1.6
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-24 DOI: 10.1097/JAC.0000000000000503
{"title":"Special Issue: The Role of Health Systems and Community Partners in Addressing Social Needs of Patients and Communities.","authors":"","doi":"10.1097/JAC.0000000000000503","DOIUrl":"10.1097/JAC.0000000000000503","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"111-112"},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Community Hospital Interventions Addressing the Medical and Social Needs of Patients : Patient Perspectives From the CHART Investment Program. 解决患者医疗和社会需求的社区医院干预措施：来自 CHART 投资计划的患者观点。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-23 DOI: 10.1097/JAC.0000000000000495
Christopher J Louis, Elisa A Koppelman, Sara S Bachman
{"title":"Community Hospital Interventions Addressing the Medical and Social Needs of Patients : Patient Perspectives From the CHART Investment Program.","authors":"Christopher J Louis, Elisa A Koppelman, Sara S Bachman","doi":"10.1097/JAC.0000000000000495","DOIUrl":"10.1097/JAC.0000000000000495","url":null,"abstract":"<p><p>High utilizers of acute care in nonurban settings are at risk for poor health outcomes. Much of Massachusetts is nonurban, with many residents experiencing limited access to health care providers, fragmented health care services, inadequate housing, and low health literacy. This study examines patient perspectives on the Community Hospital Acceleration, Revitalization, and Transformation (CHART) investment program, a state-based grant program focused on advancing community hospitals toward value-based care. We found that CHART staff engaged patients in care coordination and patient advocacy, promoted patient agency and health literacy, and provided socioemotional support. These findings may help inform future program development around meeting the medical and social needs of high utilizers of health care services.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"143-153"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Qualitative Study of A Health Center-Based Mobile Produce Market. 对保健中心流动农产品市场的定性研究。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-20 DOI: 10.1097/JAC.0000000000000496
Rebecca K Rudel, Elena Byhoff, Sarah B Fielman, Kiersten L Strombotne, Mari-Lynn Drainoni, Jacey A Greece
{"title":"A Qualitative Study of A Health Center-Based Mobile Produce Market.","authors":"Rebecca K Rudel, Elena Byhoff, Sarah B Fielman, Kiersten L Strombotne, Mari-Lynn Drainoni, Jacey A Greece","doi":"10.1097/JAC.0000000000000496","DOIUrl":"10.1097/JAC.0000000000000496","url":null,"abstract":"<p><p>Healthcare-based food assistance programs have the potential to improve patients' food security, but are underutilized. We conducted a qualitative study of user and staff perceptions of an on-site mobile market at a federally-qualified health center (FQHC). Five themes were identified: 1) financial need drives the decision to use the market, 2) people attend specifically to receive healthy food, 3) users feel a connection to the FQHC, which increases participation, 4) social networks increase usage of the program, and 5) long lines, inclement weather, inaccessibility, and inconsistent marketing and communication are attendance barriers. Findings should inform implementation of future healthcare-based food assistance programs.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"134-142"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Community Health Work and Social Work Collaboration: Integration in Health Care and Public Health Settings: A Conceptual Framework. 社区卫生工作与社会工作合作：整合医疗保健和公共卫生环境：概念框架。
IF 1.6
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-21 DOI: 10.1097/JAC.0000000000000498
Liana Petruzzi, Julie Smithwick, Lily Lee, Jorge Delva, Lillie Fox, Geoff Wilkinson, Shetal Vohra-Gupta, Maria Aranda, Carmen Valdez, Barbara Jones
{"title":"Community Health Work and Social Work Collaboration: Integration in Health Care and Public Health Settings: A Conceptual Framework.","authors":"Liana Petruzzi, Julie Smithwick, Lily Lee, Jorge Delva, Lillie Fox, Geoff Wilkinson, Shetal Vohra-Gupta, Maria Aranda, Carmen Valdez, Barbara Jones","doi":"10.1097/JAC.0000000000000498","DOIUrl":"10.1097/JAC.0000000000000498","url":null,"abstract":"<p><p>Community health worker (CHW) and social worker (SW) collaboration is crucial to illness prevention and intervention, yet systems often engage the 2 workforces in silos and miss opportunities for cross-sector alignment. In 2021, a national workgroup of over 2 dozen CHWs, SWs, and public health experts convened to improve CHW/SW collaboration and integration across the United States. The workgroup developed a conceptual framework that describes structural, systemic, and organizational factors that influence CHW/SW collaboration. Best practices include standardized training, delineated roles and scopes of practice, clear workflows, regular communication, a shared system for documentation, and ongoing support or supervision.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"187-202"},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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