The purpose of this review was to (i) provide a history of CHW integration within healthcare in the U.S.A, (ii) describe evidence of the impact of CHW programs on population health, experience, costs of care, and health equity, and (iii) identify considerations for CHW program expansion in the U.S. context. This paper builds on a 2014 review, providing an updated summary of the … [Read more...] about Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States
United States of America
Addressing Financial Barriers to Health Care Among People Who are Low-Income and Insured in New York City, 2014–2017
The purpose of this study was to characterize the array of financial and logistical complications faced by insured individuals with low household incomes within New York City. A mixed-methods approach was utilized, including focus group discussions and the analysis of programmatic administrative records. Participants included individuals who enrolled in a municipal CHW program … [Read more...] about Addressing Financial Barriers to Health Care Among People Who are Low-Income and Insured in New York City, 2014–2017
Community Health Representative Workforce: Integration across systems and teams to address the social determinants of indigenous health and wellbeing
The aim of this paper was to build from the previously published manuscript Community Health Workers Practice from Recruitment to Integration, which explored Community Health Representative (CHR) Managers’ perspectives on the challenges and opportunities for full CHR integration into health systems and teams serving American Indian and Alaskan Native (AIAN) peoples. Building on … [Read more...] about Community Health Representative Workforce: Integration across systems and teams to address the social determinants of indigenous health and wellbeing
Social Needs Assessment and Linkage to Community Health Workers in a Large Urban Hospital System
This study sought to identify predictors of successful linkage with a CHW among patients with social needs seen in an outpatient setting. A cross-sectional analysis of social needs was conducted in an urban health system in Bronx, New York, USA between April 2018 and December 2019. Social needs and challenges included: food insecurity, housing quality, housing instability, … [Read more...] about Social Needs Assessment and Linkage to Community Health Workers in a Large Urban Hospital System
New Frontiers in Diabetes Care: Quality Improvement Study of a Population Health Team in Rural Critical Access Hospitals
This study sought to determine if an innovative population health program that integrates medical and social care models improves clinical outcomes for patients with Type 2 diabetes in a resource-constrained, frontier area. A quality improvement cohort study was conducted with patients with diabetes at St. Mary’s Health and Clearwater Valley Health (SMHCVH), located in Idaho, … [Read more...] about New Frontiers in Diabetes Care: Quality Improvement Study of a Population Health Team in Rural Critical Access Hospitals
