社区卫生工作者融入医疗团队在以患者为中心的医疗之家实现了三重目标：一个布朗克斯的故事。
Community health worker integration into the health care team accomplishes the triple aim in a patient-centered medical home: a Bronx tale.
作者信息
Findley Sally, Matos Sergio, Hicks April, Chang Ji, Reich Douglas
机构信息
Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York (Dr Findley); Community Health Worker Network of NYC, New York (Mr Matos); True North Consulting LLC, New York (Ms Hicks); Center for Minority Health Equity, New York University, New York (Ms Chang); Department of Family Medicine, Bronx-Lebanon Hospital, Bronx, New York (Dr Reich).
出版信息
J Ambul Care Manage. 2014 Jan-Mar;37(1):82-91. doi: 10.1097/JAC.0000000000000011.
Community health workers are ideally suited to the care coordination niche within the patient-centered medical home (PCMH) team, but there are few case studies detailing how to accomplish this integration. This qualitative study documents how community health workers (CHWs) were integrated into a PCMH in South Bronx, New York. Results show that integration was linked to clear definition of their care coordination role within the care team, meticulous recruitment, training and supervision by a senior CHW, shared leadership of the care management team, and documented value for money. By helping the team understand patients' backgrounds, constraints, and preferences, they helped everyone genuinely focus on the patient.
社区卫生工作者非常适合以患者为中心的医疗之家（PCMH）团队中的护理协调工作，但很少有案例研究详细说明如何实现这种整合。这项定性研究记录了社区卫生工作者（CHW）是如何融入纽约市布朗克斯南部的一个PCMH的。结果表明，整合与他们在护理团队中护理协调角色的明确定义、由资深社区卫生工作者进行的精心招募、培训和监督、护理管理团队的共同领导以及记录在案的性价比有关。通过帮助团队了解患者的背景、限制因素和偏好，他们帮助每个人真正关注患者。
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