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社区卫生工作者是否会影响低收入少数族裔糖尿病患者的非紧急门诊医疗服务利用情况？

Do community health workers affect non-urgent, ambulatory healthcare utilization among low-income, minority patients with diabetes?

作者信息

Chiu Ryan G, Xia Yinglin, Sharp Lisa K, Gerber Ben S

机构信息

Department of Medicine, University of Illinois College of Medicine, 1747 W. Roosevelt Rd., Chicago, IL 60608, United States.

Department of Pharmacy Systems, Outcomes, and Policy, University of Illinois College of Pharmacy, 1747 W. Roosevelt Rd., Chicago, IL 60608, United States.

出版信息

J Clin Transl Endocrinol. 2019 Feb 7;16:100184. doi: 10.1016/j.jcte.2019.100184. eCollection 2019 Jun.

DOI:10.1016/j.jcte.2019.100184
PMID:30815365
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6377405/
Abstract

Community health workers (CHWs) can reduce emergent care among low-income, ethnic minority patients with type 2 diabetes. A secondary analysis of a randomized controlled trial evaluated the effect of CHWs on non-urgent, ambulatory healthcare utilization. Within this trial, no effect on ambulatory care was found.

摘要

社区卫生工作者（CHWs）可以减少低收入少数族裔2型糖尿病患者的急诊护理。一项随机对照试验的二次分析评估了社区卫生工作者对非紧急门诊医疗利用的影响。在该试验中，未发现对门诊护理有影响。

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本文引用的文献

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Effect of Community Health Worker Support on Clinical Outcomes of Low-Income Patients Across Primary Care Facilities: A Randomized Clinical Trial.社区卫生工作者支持对初级保健机构中低收入患者临床结局的影响：一项随机临床试验。
JAMA Intern Med. 2018 Dec 1;178(12):1635-1643. doi: 10.1001/jamainternmed.2018.4630.
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Community Health Workers Supporting Clinical Pharmacists in Diabetes Management: A Randomized Controlled Trial.社区卫生工作者支持临床药师参与糖尿病管理：一项随机对照试验。
Pharmacotherapy. 2018 Jan;38(1):58-68. doi: 10.1002/phar.2058. Epub 2017 Nov 30.
3
Impact of Community Health Workers on Use of Healthcare Services in the United States: A Systematic Review.社区卫生工作者对美国医疗服务利用的影响：一项系统综述
J Gen Intern Med. 2017 Mar;32(3):325-344. doi: 10.1007/s11606-016-3922-9. Epub 2016 Dec 5.
4
Effects of Community-Based Health Worker Interventions to Improve Chronic Disease Management and Care Among Vulnerable Populations: A Systematic Review.基于社区的卫生工作者干预措施对改善弱势群体慢性病管理与照护的影响：一项系统综述
Am J Public Health. 2016 Apr;106(4):e3-e28. doi: 10.2105/AJPH.2015.302987. Epub 2016 Feb 18.
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Community health workers as an integral strategy in the REACH U.S. program to eliminate health inequities.社区卫生工作者是美国“拓展”项目中消除健康不平等现象的一项不可或缺的策略。
Health Promot Pract. 2014 Nov;15(6):795-802. doi: 10.1177/1524839914541442. Epub 2014 Jul 25.
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Patient-centered community health worker intervention to improve posthospital outcomes: a randomized clinical trial.以患者为中心的社区卫生工作者干预措施改善出院后结局：一项随机临床试验。
JAMA Intern Med. 2014 Apr;174(4):535-43. doi: 10.1001/jamainternmed.2013.14327.
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The role of community health workers in diabetes: update on current literature.社区卫生工作者在糖尿病中的作用：当前文献综述。
Curr Diab Rep. 2013 Apr;13(2):163-71. doi: 10.1007/s11892-012-0359-3.
8
Improving asthma management among African-American children via a community health worker model: findings from a Chicago-based pilot intervention.通过社区卫生工作者模式改善非裔美国儿童的哮喘管理：基于芝加哥的试点干预结果
J Asthma. 2012 May;49(4):380-9. doi: 10.3109/02770903.2012.660295. Epub 2012 Feb 21.
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A randomized controlled trial of parental asthma coaching to improve outcomes among urban minority children.一项关于父母哮喘指导以改善城市少数民族儿童预后的随机对照试验。
Arch Pediatr Adolesc Med. 2011 Jun;165(6):520-6. doi: 10.1001/archpediatrics.2011.57.
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Diabet Med. 2006 May;23(5):544-56. doi: 10.1111/j.1464-5491.2006.01845.x.