As an attempt to reduce hospital readmissions, a community health worker intervention was used to observe the feasibility and preliminary effect of such a program. The intervention included an inpatient introductory visit and weekly post-discharge telephone support for four weeks. In conclusion, hospital readmission rates were lower among CHW patients compared to usual care, though the difference was not statistically significant.
This paper analyzes trends and various approaches to professional development in U.S. community health worker training and certification programs using a national survey of these training programs. Three trends were identified from the national survey results and data collection: (1) schooling at the community college level—provides career advancement opportunities; (2) on-the-job training—improves standards of care, CHW income, and retention; and (3) certification at the state level—recognizes the work of CHWs, and facilitates Medicaid reimbursement for CHW services.
This paper evaluates the outcomes and feasibility of a promotora (female community health worker in Latino communities)-led lifestyle behavior intervention for overweight immigrant Latinas in the United States. Using a randomized controlled trial design, a culturally-tailored intervention was implemented in the intervention group and an educational program in the control group.
A randomized controlled trial was conducted among low-income households with a child aged 4-12 with asthma with one high-intensity group and one low-intensity group to assess the effectiveness of a CHW intervention focused on reducing exposure to indoor asthma triggers. Community health workers provided in-home environmental assessments, education, support for behavior change, and resources to participants.
This paper focuses on the role and documented effectiveness of CHWs in terms of quality, health care services, cost health services, as well as health behaviors and knowledge about the health care system among underserved populations in the United States. Sixty-five peer reviewed articles and publications were analyzed and compiled as data for this study, many of which indicate that CHW programs can improve access to health care, outreach and enrollment into public benefits, increase culturally competent health education, and reduce the cost of using the health care system.
In order to confirm the effectiveness of community health workers’ involvement as counselors or case managers in a self-help diabetes management program among Korean Americans in the Baltimore-Washington metropolitan area, a randomized controlled trial was utilized. Different groups were counselled by either a CHW or an RN, with the CHW’s performance being comparable to the RN for psychobehavioral and physiological outcomes.
With the introduction of the Patient Protection and Affordable Care Act’s (PPACA), a unique opportunity to integrate community health worker models into health care delivery exists. This article discusses several different strategies for integrating CHW models within PPACA implementation through facilitated enrollment strategies, patient-centered medical homes, coordination and expansion of health information technology (HIT) efforts, and also discusses payment options for such integration.
Using a life history approach, 26 Northern Ugandan health workers with experience working in the public and private not-for-profit (PNFP) sectors were interviewed to reveal their experiences both during and after the Northern Uganda conflict and to better understand what influenced these health workers to move between these two sectors. Most workers moved from the PNFP to the public sector, as during the conflict PNFP was more stable and offered better quality training. After the conflict, the public sector was rebuilt and offered more for health care workers.
Using mobile job aids can help CHWs deliver integrated counseling on family planning and HIV/STI screening by following a step-by-step service delivery algorithm. Lessons learned during the pilot led to the development of additional features during scale-up to exploit the other major advantages that mHealth offers including:
· Better supervision of health workers and accountability for their performance
· Improved communication between supervisors and workers
· Access to real-time data and reports to support quality improvement