Savanna L Carson, Clemens Hong, Heidi Behforouz, Emily Chang, Lydia Z Dixon, Diane Factor, Sheba M George, Jenebah Lewis, Angelina Majeno, Maria Morales, Courtney Porter, Ami Shah, Stefanie D Vassar, Arleen F Brown
{"title":"在安全网环境中，社区保健工作者消除患者、机构和社区层面的初级保健障碍的机制。","authors":"Savanna L Carson, Clemens Hong, Heidi Behforouz, Emily Chang, Lydia Z Dixon, Diane Factor, Sheba M George, Jenebah Lewis, Angelina Majeno, Maria Morales, Courtney Porter, Ami Shah, Stefanie D Vassar, Arleen F Brown","doi":"10.1097/JAC.0000000000000405","DOIUrl":null,"url":null,"abstract":"<p><p>Medically and socially complex patients disproportionately face barriers to primary care, contributing to health inequities and higher health care costs. This study elicited perspectives on how community health workers (CHWs) act upon barriers to primary care in 5 patient (n = 25) and 3 CHW focus groups (n = 17). Participants described how CHWs acted on patient-level barriers through social support, empowerment, and linkages, and system-level barriers by enhancing care team awareness of patient circumstances, optimizing communication, and advocating for equitable treatment. Limitations existed for influencing entrenched community-level barriers. CHWs, focusing on patient preferences, motivators, and circumstances, intervened on multilevel barriers to primary care, including advocacy for equitable treatment. These mechanisms have implications for existing CHW conceptual models.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"45 1","pages":"22-35"},"PeriodicalIF":1.6000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8622376/pdf/nihms-1747643.pdf","citationCount":"0","resultStr":"{\"title\":\"Mechanisms for Community Health Worker Action on Patient-, Institutional-, and Community-Level Barriers to Primary Care in a Safety-Net Setting.\",\"authors\":\"Savanna L Carson, Clemens Hong, Heidi Behforouz, Emily Chang, Lydia Z Dixon, Diane Factor, Sheba M George, Jenebah Lewis, Angelina Majeno, Maria Morales, Courtney Porter, Ami Shah, Stefanie D Vassar, Arleen F Brown\",\"doi\":\"10.1097/JAC.0000000000000405\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Medically and socially complex patients disproportionately face barriers to primary care, contributing to health inequities and higher health care costs. This study elicited perspectives on how community health workers (CHWs) act upon barriers to primary care in 5 patient (n = 25) and 3 CHW focus groups (n = 17). Participants described how CHWs acted on patient-level barriers through social support, empowerment, and linkages, and system-level barriers by enhancing care team awareness of patient circumstances, optimizing communication, and advocating for equitable treatment. Limitations existed for influencing entrenched community-level barriers. CHWs, focusing on patient preferences, motivators, and circumstances, intervened on multilevel barriers to primary care, including advocacy for equitable treatment. These mechanisms have implications for existing CHW conceptual models.</p>\",\"PeriodicalId\":46654,\"journal\":{\"name\":\"JOURNAL OF AMBULATORY CARE MANAGEMENT\",\"volume\":\"45 1\",\"pages\":\"22-35\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2022-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8622376/pdf/nihms-1747643.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JOURNAL OF AMBULATORY CARE MANAGEMENT\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/JAC.0000000000000405\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOURNAL OF AMBULATORY CARE MANAGEMENT","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JAC.0000000000000405","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Mechanisms for Community Health Worker Action on Patient-, Institutional-, and Community-Level Barriers to Primary Care in a Safety-Net Setting.
Medically and socially complex patients disproportionately face barriers to primary care, contributing to health inequities and higher health care costs. This study elicited perspectives on how community health workers (CHWs) act upon barriers to primary care in 5 patient (n = 25) and 3 CHW focus groups (n = 17). Participants described how CHWs acted on patient-level barriers through social support, empowerment, and linkages, and system-level barriers by enhancing care team awareness of patient circumstances, optimizing communication, and advocating for equitable treatment. Limitations existed for influencing entrenched community-level barriers. CHWs, focusing on patient preferences, motivators, and circumstances, intervened on multilevel barriers to primary care, including advocacy for equitable treatment. These mechanisms have implications for existing CHW conceptual models.
期刊介绍：
The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
