Department of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington
Kaiser Permanente Washington Health Research Institute, Seattle, Washington.
Ann Fam Med. 2018 May;16(3):240-245. doi: 10.1370/afm.2208.
Community health workers have potential to enhance primary care access and quality, but remain underutilized. To provide guidance on their integration, we characterized roles and functions of community health workers in primary care through a literature review and synthesis. Analysis of 30 studies identified 12 functions (ie, care coordination, health coaching, social support, health assessment, resource linking, case management, medication management, remote care, follow-up, administration, health education, and literacy support) and 3 prominent roles representing clusters of functions: clinical services, community resource connections, and health education and coaching. We discuss implications for community health worker training and clinical support in primary care.
社区卫生工作者有潜力提高初级保健的可及性和质量，但仍未得到充分利用。为了为他们的整合提供指导，我们通过文献回顾和综合分析来描述初级保健中的社区卫生工作者的角色和功能。对 30 项研究的分析确定了 12 项功能（即护理协调、健康指导、社会支持、健康评估、资源链接、病例管理、药物管理、远程护理、随访、管理、健康教育和扫盲支持）和 3 个突出的角色，代表了功能集群：临床服务、社区资源联系以及健康教育和指导。我们讨论了在初级保健中对社区卫生工作者培训和临床支持的影响。
