Interventions that address socioeconomic determinants of health are receiving considerable attention from policy makers and health care executives, attention fueled in part by expected returns on investment. However, many current estimates of returns on investment are likely overestimated. This study presents a return-on-investment analysis based on a randomized controlled trial of Individualized Management for Patient-Centered Targets (IMPaCT), a standardized community health worker intervention that addresses unmet social needs for disadvantaged people.
Community health workers are often overlooked and underutilized as powerful change agents for health equity. This report, based on a review of nine studies, provides evidence and policy recommendations. It describes the value of including CHWs in healthcare delivery systems for addressing inequities.
Communities across the United States face numerous challenges in terms of health status and access to care. Community health workers (CHWs) provide major assistance in delivery of health resources through a community centered approach. This policy document from the American Public Health Association (APHA) updates the organization’s 2001 policy statement: “Recognition and Support for Community Health Workers’ Contributions to Meeting Our Nation’s Health Care Needs.” It reviews progress and provides recommendations for better integrating CHWs into the US healthcare system.
The purpose of this study was to apply the RE-AIM framework to evaluate data obtained from focus group discussions to generate information on the availability of cardiovascular disease (CVD) risk interventions through the COACH program in Nebraska. The COACH approach involves interventions provided by nurses and community health workers
While cancer screening tests are available, Latinos are screened at a lower rate than non-Hispanic whites. This study looked at the effectiveness of an evidence-based community health worker (CHW) intervention which was designed to increase screening rates, knowledge about screening guidelines and awareness about benefits of early detection. The project involved community and clinic-based components primarily targeted at Latino populations.
Miami-Dade County in the state of Florida, USA, faces the largest burden of new HIV infections in the nation. Building off the success of street-based HIV testing carried out by community health workers (CHWs), this study looks at a community-based approach for HIV testing among Black adults. This CHW-led intervention included providing education about risk factor modification, transmission and prevention methods along with HIV testing.
There are myriad models of Community health worker (CHW) employment; however, there is limited knowledge about the link between organizational structures and CHW experiences. This article presents results from seventeen in depth interviews conducted with CHWs, their supervisors and leadership to gather perceptions regarding CHW effectiveness and organizational structure.
Community health workers (CHWs) play a crucial role in enabling access to healthcare in marginalized communities; yet they also face numerous structural challenges which complicate their care delivery. This paper discusses the results of a year-long ethnographic study which looked at structural barriers faced by community health works in Indiana.
Immigrants in the United States face a range of challenges with respect to access to quality health care. Community health workers play an important role in ensuring these individuals can avail of the necessary care and treatment. This book provides evidence and recommendations for engaging CHWs to serve immigrant populations.