Brooks Beth A, Davis Sheila, Kulbok Pamela, Frank-Lightfoot Loraine, Sgarlata Lisa, Poree Shawanda
Resurrection University (Dr Brooks), Chicago, Illinois; Partners in Health (Dr Davis), Boston, Massachusetts; College of Nursing (Dr Kulbok), University of Virginia Charlottesville, Virginia; Parkview Health System (Dr Frank-Lightfoot), Fort Wayne, Indiana; Lee Memorial Health System (Dr Sgarlata), Fort Myers, Florida; and Department of Veterans Affairs (Ms Poree), New Orleans, Louisiana.
Nurs Adm Q. 2015 Jul-Sep;39(3):211-7. doi: 10.1097/NAQ.0000000000000110.
In light of the fragmentation of health care services and the need for health promotion and disease prevention, it is time to consider the important role community health workers (CHWs) could play as part of the health care team. Globally, CHWs tend to focus on a single patient condition, resulting in fragmented, uncoordinated health care services. Polyvalent (or multimodal) CHWs can provide a comprehensive, patient-centric range of care coordination services with other members of the health care team, ultimately improving patient outcomes and decreasing the cost of care. The potential benefits of the polyvalent CHW to the health care team are not widely understood in the United States. To fill this knowledge gap, a toolkit for nurse leaders in mainstream health care settings was created. The toolkit outlines the key elements essential to a successful CHW program and offers strategies for navigating the various challenges involved when integrating this new role into existing models of care.
鉴于医疗服务的碎片化以及健康促进和疾病预防的需求，现在是时候考虑社区卫生工作者（CHW）作为医疗团队一部分可能发挥的重要作用了。在全球范围内，社区卫生工作者往往专注于单一患者病情，导致医疗服务碎片化、不协调。多能（或多模式）社区卫生工作者可以与医疗团队的其他成员一起提供全面的、以患者为中心的一系列护理协调服务，最终改善患者预后并降低护理成本。在美国，多能社区卫生工作者对医疗团队的潜在益处尚未得到广泛理解。为了填补这一知识空白，为主流医疗环境中的护士领导者创建了一个工具包。该工具包概述了成功的社区卫生工作者项目的关键要素，并提供了将这一新角色融入现有护理模式时应对各种挑战的策略。
