改善健康公平性：加拿大社区卫生工作者的积极作用
Improving health equity: the promising role of community health workers in Canada.
作者信息
Torres Sara, Labonté Ronald, Spitzer Denise L, Andrew Caroline, Amaratunga Carol
机构信息
Postdoctoral Fellow, Institut de recherche en santé publique, de l'Université de Montréal (IRSPUM), Montreal, QC.
Canada Research Chair, Globalization and Health Equity Professor, University of Ottawa, ON, Professor, Flinders University of South Australia Adjunct Professor, University of Saskatchewan, SK.
出版信息
Healthc Policy. 2014;10(1):73-85.
This article reports findings from an applied case study of collaboration between a community-based organization staffed by community health workers/multicultural health brokers (CHWs/MCHBs) serving immigrants and refugees and a local public health unit in Alberta, Canada. In this study, we explored the challenges, successes and unrealized potential of CHWs/MCHBs in facilitating culturally responsive access to healthcare and other social services for new immigrants and refugees. We suggest that health equity for marginalized populations such as new immigrants and refugees could be improved by increasing the role of CHWs in population health programs in Canada. Furthermore, we propose that recognition by health and social care agencies and institutions of CHWs/MCHBs, and the role they play in such programs, has the potential to transform the way we deliver healthcare services and address health equity challenges. Such recognition would also benefit CHWs and the populations they serve.
本文报告了一项应用案例研究的结果，该研究涉及一个由社区卫生工作者/多元文化健康经纪人（CHWs/MCHBs）组成的社区组织与加拿大艾伯塔省当地公共卫生部门之间的合作，该社区组织为移民和难民提供服务。在本研究中，我们探讨了社区卫生工作者/多元文化健康经纪人在促进新移民和难民获得具有文化适应性的医疗保健及其他社会服务方面所面临的挑战、取得的成功以及未实现的潜力。我们认为，通过增强社区卫生工作者在加拿大人口健康项目中的作用，可以改善新移民和难民等边缘化人群的健康公平状况。此外，我们建议，卫生和社会护理机构及院校认可社区卫生工作者/多元文化健康经纪人及其在此类项目中所发挥的作用，有可能改变我们提供医疗服务的方式，并应对健康公平挑战。这种认可也将使社区卫生工作者及其服务的人群受益。
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