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利用促进者项目改善拉丁裔健康状况:社区非营利组织面临的实施挑战

Using Promotores Programs to Improve Latino Health Outcomes: Implementation Challenges for Community-based Nonprofit Organizations.

作者信息

Twombly Eric C, Holtz Kristen D, Stringer Kimberly

出版信息

J Soc Serv Res. 2012 May 1;38(3):305-312. doi: 10.1080/01488376.2011.633804. Epub 2012 Apr 24.

DOI:10.1080/01488376.2011.633804
PMID:23188929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3505454/
Abstract

Promotores are community lay health workers, who provide outreach and services to Latinos. Little research on the promotores programs exists and the focus of this article is to identify the challenges faced by community-based nonprofits when implementing promotores programs. To explore this type of program telephone interviews were conducted with ten promotores academic experts and nonprofit executives. The results suggest that implementation challenges fall into three major categories: the lack of standardized information on promotores programs, labor issues, and organizational costs. Future recommendations are made which highlight promotores recruitment and retention strategies, and the development of a clearinghouse of programmatic implementation information for community-based nonprofits.

摘要

社区健康促进员是社区的非专业健康工作者,他们为拉丁裔人群提供外展服务。目前关于社区健康促进员项目的研究较少,本文的重点是确定社区非营利组织在实施社区健康促进员项目时所面临的挑战。为了探究这类项目,我们对十位社区健康促进员学术专家和非营利组织高管进行了电话访谈。结果表明,实施过程中的挑战主要分为三大类:缺乏关于社区健康促进员项目的标准化信息、劳动力问题以及组织成本。本文还提出了未来的建议,重点强调了社区健康促进员的招募和留用策略,以及为社区非营利组织建立一个项目实施信息交流中心。

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本文引用的文献

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Promotores as partners in a community-based diabetes intervention program targeting Hispanics.促进者作为针对西班牙裔的社区糖尿病干预项目中的合作伙伴。
Fam Community Health. 2009 Jan-Mar;32(1):48-57. doi: 10.1097/01.FCH.0000342816.87767.e6.
2
Racial and ethnic disparities in medical and dental health, access to care, and use of services in US children.美国儿童在医疗和口腔健康、医疗服务可及性以及服务利用方面的种族和族裔差异。
Pediatrics. 2008 Feb;121(2):e286-98. doi: 10.1542/peds.2007-1243. Epub 2008 Jan 14.
3
Diffusion of cancer education information through a Latino community health advisor program.通过拉丁裔社区健康顾问项目传播癌症教育信息。
Prev Med. 2007 Aug-Sep;45(2-3):135-8. doi: 10.1016/j.ypmed.2007.05.017. Epub 2007 Jun 2.
4
Use of preventive maternal and child health services by Latina women: a review of published intervention studies.拉丁裔女性对孕产妇和儿童预防保健服务的利用:已发表干预研究综述
Med Care Res Rev. 2007 Feb;64(1):4-45. doi: 10.1177/1077558706296238.
5
Understanding the success of promotoras in increasing chronic diseases screening.了解健康促进者在增加慢性病筛查方面的成效。
J Health Care Poor Underserved. 2006 May;17(2):256-64. doi: 10.1353/hpu.2006.0066.
6
Inclusion of immigrant families in U.S. health coverage expansions.将移民家庭纳入美国医保覆盖范围的扩大计划。
J Health Care Poor Underserved. 2006 Feb;17(1 Suppl):81-94. doi: 10.1353/hpu.2006.0006.
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Measuring return on investment of outreach by community health workers.衡量社区卫生工作者外展服务的投资回报率。
J Health Care Poor Underserved. 2006 Feb;17(1 Suppl):6-15. doi: 10.1353/hpu.2006.0015.
8
The role of the federal government in eliminating health disparities.联邦政府在消除健康差距方面的作用。
Health Aff (Millwood). 2005 Mar-Apr;24(2):452-8. doi: 10.1377/hlthaff.24.2.452.
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An educational program to increase cervical and breast cancer screening in Hispanic women: a Southwest Oncology Group study.一项旨在提高西班牙裔女性宫颈癌和乳腺癌筛查率的教育项目:西南肿瘤协作组研究
Cancer Nurs. 2005 Jan-Feb;28(1):47-53. doi: 10.1097/00002820-200501000-00007.
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Developing and adapting a family-based diabetes program at the U.S.-Mexico border.在美国-墨西哥边境地区开发并调整一项基于家庭的糖尿病项目。
Prev Chronic Dis. 2005 Jan;2(1):A20. Epub 2004 Dec 15.