南亚利桑那州两个卫生部门的卫生保健整合案例研究。

IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES

JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2025-07-01 Epub Date: 2025-05-09 DOI:10.1097/JAC.0000000000000529

Maia Ingram, Andi Medrano, Dolores Encinas, Lee Itule-Klasen, Gloria Coronado, Maria Esparza, Rodrigo Valenzuela Cordova, Jax Seline, Raleigh C Addington, Ada M Wilkinson-Lee

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引用次数: 0

摘要

我们对社区卫生工作者（CHW）整合的参与性案例研究的目的是描述社区卫生工作者在两个地方卫生部门（lhd）中的作用。研究伙伴根据现有框架共同制定了面试指南。14名工作人员参加了访谈。卫生保健员建立社区对低收入家庭的信任，提供低收入家庭的核心服务，确定社区关注的问题和优先事项，并解决健康的社会决定因素。整合的障碍包括雇佣协议、缺乏对CHW角色的理解、补偿不足和可持续的资金。该研究确定了促进劳动力效率、福祉和可持续性的整合过程的关键因素。

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A Case Study of CHW Integration in Two Health Departments in Southern Arizona.

The objective of our participatory case study of community health worker (CHW) integration was to describe the role of CHWs in two local health departments (LHDs). Study partners co-developed an interview guide based on an existing framework. Fourteen staff participated in interviews. CHWs build community trust for LHDs, provide LHD core services, identify community concerns and priorities, and address social determinants of health. Integration barriers include hiring protocols, lack of understanding of the CHW role, inadequate compensation, and sustainable funding. The study identified key factors for an integration process that promotes the effectiveness, wellbeing, and sustainability of the workforce.

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来源期刊

JOURNAL OF AMBULATORY CARE MANAGEMENT HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.10

自引率

4.30%

发文量

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.