Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, 4770 Buford Highway, MS F-72, Atlanta, GA, 30341, USA,
J Community Health. 2013 Dec;38(6):1050-7. doi: 10.1007/s10900-013-9713-x.
Studies have shown that community health workers (CHWs) can improve the effectiveness of health care systems; however, little has been reported about CHW program costs. We examined the costs of a program staffed by three CHWs associated with a small, rural hospital in Vermont. We used a standardized data collection tool to compile cost information from administrative data and personal interviews. We analyzed personnel and operational costs from October 2010 to September 2011. The estimated total program cost was $420,348, a figure comprised of $281,063 (67%) for personnel and $139,285 (33%) for operations. CHW salaries and office space were the major cost components. Our cost analysis approach may be adapted by others to conduct cost analyses of their CHW program. Our cost estimates can help inform future economic studies of CHW programs and resource allocation decisions.
研究表明，社区卫生工作者（CHWs）可以提高医疗保健系统的效率；然而，关于 CHW 项目成本的报道却很少。我们调查了佛蒙特州一家小型农村医院雇佣三名 CHW 的项目成本。我们使用标准化的数据收集工具，从行政数据和个人访谈中收集成本信息。我们分析了 2010 年 10 月至 2011 年 9 月的人员和运营成本。估计项目总成本为 420348 美元，其中 281063 美元（67%）用于人员，139285 美元（33%）用于运营。CHW 工资和办公空间是主要的成本构成部分。我们的成本分析方法可以被其他人采用，以对他们的 CHW 项目进行成本分析。我们的成本估算可以帮助为未来 CHW 项目的经济研究和资源分配决策提供信息。
