Mailman School of Public Health, Columbia University, New York, NY, USA.
Am J Public Health. 2012 Oct;102(10):1981-7. doi: 10.2105/AJPH.2011.300566. Epub 2012 Aug 16.
We evaluated efforts in New York to build a consensus between community health workers (CHWs) and employers on CHWs' scope of practice, training standards, and certification procedures.
We conducted multiple-choice surveys in 2008 and 2010 with 226 CHWs and 44 employers. We compared CHWs' and employers' recommendations regarding 28 scope of practice elements. The participatory ranking method was used to identify consensus scope of practice recommendations.
There was consensus on 5 scope of practice elements: outreach and community organizing, case management and care coordination, home visits, health education and coaching, and system navigation. For each element, 3 to 4 essential skills were identified, giving a total of 27 skills. These included all skills recommended in national CHW studies, along with 3 unique to New York: computer skills, participatory research methods, and time management.
CHWs and employers in New York were in consensus on CHWs' scope of practice on virtually all of the detailed core competency skills. The CHW scope of practice recommendations of these groups can help other states refine their scope of practice elements.
我们评估了纽约在社区卫生工作者（CHW）和雇主之间建立共识的努力，包括 CHW 的实践范围、培训标准和认证程序。
我们在 2008 年和 2010 年对 226 名 CHW 和 44 名雇主进行了多项选择调查。我们比较了 CHW 和雇主对 28 个实践范围要素的建议。采用参与式排名法确定共识的实践范围建议。
在 5 个实践范围要素上达成了共识：外展和社区组织、个案管理和护理协调、家访、健康教育和辅导以及系统导航。对于每个要素，确定了 3 到 4 个基本技能，共计 27 个技能。这些技能包括全国 CHW 研究中推荐的所有技能，以及纽约特有的 3 项技能：计算机技能、参与式研究方法和时间管理。
纽约的 CHW 和雇主在 CHW 的实践范围上几乎在所有详细的核心能力技能上达成了共识。这些群体的 CHW 实践范围建议可以帮助其他州完善其实践范围要素。
