Robert Wood Johnson Clinical Scholars Program, University of Michigan, North Campus Research Center (NCRC), Ann Arbor, MI 48109, USA.
Curr Diab Rep. 2013 Apr;13(2):163-71. doi: 10.1007/s11892-012-0359-3.
Community health worker (CHW) interventions have been found to be a promising strategy for improving diabetes outcomes, especially among low-income and racial and ethnic minority populations. This review serves as an update of the literature published since 2011 on CHWs' role in diabetes care. In our review of the most current literature, we noted several key areas of advancement. These areas include community-based participatory research approaches to intervention development and evaluation, analyses of the cost effectiveness of CHW interventions, evaluation of sustainability through integrated team-based approaches, thorough descriptions of characteristics and training of CHWs, and delineation of the scope of practice and most effective roles for CHWs.
社区卫生工作者（CHW）干预措施已被证明是改善糖尿病治疗效果的一种有前途的策略，尤其是在低收入人群以及少数族裔和少数民族中。本综述是对自 2011 年以来发表的关于 CHW 在糖尿病护理中作用的文献的更新。在对最新文献的综述中，我们注意到几个关键的进展领域。这些领域包括以社区为基础的参与式研究方法来制定和评估干预措施，对 CHW 干预措施的成本效益进行分析，通过综合团队方法评估可持续性，详细描述 CHW 的特征和培训，以及划定 CHW 的实践范围和最有效的角色。
