School of Medicine, University of Alabama at Birmingham, USA.
Ethn Dis. 2010 Spring;20(2):189-94.
The community health worker (CHW) model has been successfully used to promote health and reduce adverse health outcomes in underserved communities. Although there is a general consensus that involvement of natural helpers from the targeted communities is a promising approach in the elimination of health disparities, there is less agreement on their responsibilities, scope of work, and reimbursement for their services (ranging from paid staff to unpaid volunteers). These differences in pay structure stem from philosophical differences, programmatic needs, and financial realities. Based on our experience with both the paid and volunteer approaches, we provide some lessons learned on how the CHW model can be integrated in our efforts to eliminate health disparities.
社区卫生工作者（CHW）模式已成功用于促进健康和减少服务不足社区的不良健康结果。尽管人们普遍认为，让目标社区的自然帮手参与进来是消除健康差距的一种有前途的方法，但对于他们的责任、工作范围和服务报酬（从带薪员工到无偿志愿者）的看法却不尽相同。薪酬结构的这些差异源于哲学差异、计划需求和财务现实。根据我们在有偿和志愿两种方法上的经验，我们提供了一些关于如何将 CHW 模式融入消除健康差距的努力中的经验教训。
