Balcazar H, Alvarado M, Ortiz G
School of Public Health, University of Texas Health Science Center, El Paso, TX, USA.
J Ambul Care Manage. 2011 Oct-Dec;34(4):362-72. doi: 10.1097/JAC.0b013e31822cbd0b.
This article describes 6 Salud Para Su Corazon (SPSC) family of programs that have addressed cardiovascular disease risk reduction in Hispanic communities facilitated by community health workers (CHWs) or Promotores de Salud (PS). A synopsis of the programs illustrates the designs and methodological approaches that combine community-based participatory research for 2 types of settings: community and clinical. Examples are provided as to how CHWs can serve as agents of change in these settings. A description is presented of a sustainability framework for the SPSC family of programs. Finally, implications are summarized for utilizing the SPSC CHW/PS model to inform ambulatory care management and policy.
本文介绍了6个“健康为您的心脏”(SPSC)项目系列,这些项目致力于在社区卫生工作者(CHW)或健康促进者(PS)的推动下,降低西班牙裔社区的心血管疾病风险。项目概述展示了结合社区参与式研究的设计和方法,应用于两种类型的环境:社区和临床。文中提供了有关社区卫生工作者如何在这些环境中充当变革推动者的示例。还介绍了SPSC项目系列的可持续性框架。最后,总结了利用SPSC社区卫生工作者/健康促进者模式为门诊护理管理和政策提供参考的意义。