Community Health Workers Can Be a Public Health Force for Change in the United States: Three Actions for a New Paradigm

被引：180

作者：

Balcazar, Hector ^{[1
]}

Rosenthal, E. Lee ^{[2
]}

Brownstein, J. Nell ^{[3
]}

Rush, Carl H. ^{[4
]}

Matos, Sergio ^{[5
]}

Hernandez, Lorenza ^{[6
]}

机构：

[1] Univ Texas Sch Publ Hlth, Hlth Sci Ctr Houston, El Paso, TX 79968 USA

[2] Univ Texas El Paso, Coll Hlth Sci, El Paso, TX 79968 USA

[3] Ctr Dis Control & Prevent, Div Prevent Heart Dis & Stroke, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA

[4] Community Resources LLC, San Antonio, TX USA

[5] Community Hlth Worker Network New York City, New York, NY USA

[6] Promotora Salud, El Paso, TX USA

来源：

AMERICAN JOURNAL OF PUBLIC HEALTH | 2011年 / 101卷 / 12期

关键词：

PREVENTION; CARE;

D O I：

10.2105/AJPH.2011.300386

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Community health workers (CHWs) have gained increased visibility in the United States. We discuss how to strengthen the roles of CHWs to enable them to become collaborative leaders in dramatically changing health care from "sickness care" systems to systems that provide comprehensive care for individuals and families and support community and tribal wellness. We recommend drawing on the full spectrum of CHWs' rolesso that they can make optimal contributions to health systems and the building of community capacity for health and well-ness. We also urge that CHWs be integrated into "commu-nity health teams" as part of "medical homes" and that evaluation frameworks be improved to better measure community wellness and systems change.

引用

页码：2199 / 2203

页数：5

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