Why don’t more patient-centered medical homes (PCMHs) employ CHWs despite the evidence that they make a difference? This qualitative study researched facilitators and barriers to integrating CHWs in PCMHs in Minnesota and defines the roles of CHWs on these care teams. The study found four factors that influenced use of CHW models :1) leaders who championed the CHW model, 2) a clinic culture that was open to innovation; 3) clinic prioritization of patients’ nonmedical needs, and 4) leadership perceptions of sustainability.
This article describes the results of a three-year simulation study that examined the comparative costs of a Patient-Centered Medical Home (PCMH) model and Integrated Primary Care and Community Support (I-PaCS) model, which integrates CHWs into primary care settings. The study found that the CHW model furthers cost savings at the facility level-making PCMH and I-PaCS models complementary.
A literature review and synthesis of the roles and functions of community health workers in primary care designed to provide insight on how to better to integrate community health workers in primary care. The article analyses 30 studies, 12 functions and 3 prominent CHW roles and discusses the implications of CHW training and clinical support in primary care.
This study examines how Brazilian primary health care handles domestic violence against women. A gap between policies and practical application were found at local levels and community health workers were found to be critical to opening dialogue between women experiencing violence and the health care system.
This cross-sectional survey in the Philippines emphasizes the importance of community health workers in reaching the drug coverage rate 0d 75% set by WHO and increasing compliance with mass drug administration in the community.
This article looks at the determinants of community health workers using mobile phone technologies in rural Rwanda. Technical characteristics were found to be a predictor of use, while user characteristics were not.
This pilot model involving community health workers (CHWs) delivering treatment for uncomplicated severe acute malnutrition (SAM) was tested in Mali. The authors found the properly trained and managed CHWs can manage uncomplicated SAM.
The authors conducted a two-arm 2 year crossover trial to determine the effectiveness of clinical pharmacists and community health workers (CHWs) in increasing glycemic control among low-income ethnic minority populations. No significant difference was found between the clinical pharmacist and CHW team versus the clinical pharmacist working alone.
This community-based, cluster-randomised controlled trial in Nepal had female community health volunteers provide home counseling and blood pressure monitoring. The intervention resulted in a reduction of blood pressure for participants with hypertension and helps age-related blood pressure increases in adults.