Felix Holly C, Ali Mir, Bird T Mac, Cottoms Naomi, Stewart M Kate
a Fay W. Boozman College of Public Health , University of Arkansas for Medical Sciences , Little Rock , AR , USA.
b Tri County Rural Health Network , Helena-West Helena , AR , USA.
Home Health Care Serv Q. 2019 Jul-Sep;38(3):194-208. doi: 10.1080/01621424.2019.1604461. Epub 2019 May 6.
Consumers prefer home and community-based long-term care (LTC) services (HCBS) but lack information on those services. We examined the use of community health workers (CHWs) to find and help Medicaid beneficiaries with unmet LTC needs access HCBS compared to standard HCBS outreach approaches. We found that CHWs were very effective at finding persons with greater needs and were better able to help them access a greater range of HCBS services. We also found that five times fewer HCBS beneficiaries helped by CHWs had to use nursing home care services than those not helped by the CHWs despite the fact that their health status was poorer than those not helped by the CHWs. Our study provides evidence of the effectiveness of CHWs for HCBS service awareness and navigation.
消费者更喜欢居家和社区长期护理（LTC）服务（HCBS），但缺乏有关这些服务的信息。我们研究了与标准的HCBS外展方法相比，利用社区卫生工作者（CHW）来寻找并帮助有未满足的LTC需求的医疗补助受益人获得HCBS服务的情况。我们发现，社区卫生工作者在找到需求更大的人方面非常有效，并且更有能力帮助他们获得更多种类的HCBS服务。我们还发现，尽管由社区卫生工作者帮助的HCBS受益人的健康状况比未得到帮助的人更差，但他们使用养老院护理服务的人数却比未得到社区卫生工作者帮助的人少五倍。我们的研究提供了社区卫生工作者在提高HCBS服务知晓度和引导方面有效性的证据。
