Department of Population Health, New York University School of Medicine, New York, New York.
J Public Health Manag Pract. 2021;27(3):E107-E118. doi: 10.1097/PHH.0000000000001092.
Community health workers (CHWs) have been identified as effective members of health care teams in improving health outcomes and reducing health disparities, especially among racial and ethnic minorities. There is a growing interest in integrating CHWs into clinical settings using health informatics-based strategies to help provide coordinated patient care and foster health-promoting behaviors.
In this scoping review, we outline health informatics-based strategies for CHW-provider communication that aim to improve integration of CHWs into clinical settings.
A scoping review was conducted.
US-based sources between 2013 and 2018 were eligible.
Literature was identified through PubMed and Google queries and hand searching key reference lists. Articles were screened by title, abstract, and then full-text.
Health informatics-based strategies for CHW-provider communication and their impacts on patient care were documented and analyzed.
Thirty-one articles discussed health informatics-based strategies for CHW-provider communication and/or integration of CHWs into clinical settings. These strategies include direct CHW documentation of patient encounters in electronic health records (EHRs) and other Web-based applications. The technologies were used to document patient encounters and patient barriers to health care providers but were additionally used for secure messaging and referral systems. These strategies were found to meet the needs of providers and CHWs while facilitating CHW-provider communication, CHW integration, and coordinated care.
Health informatics-based strategies for CHW-provider communication are important for facilitating CHW integration and potentially improving patient outcomes and improving disparities among minority populations. This integration can support the development of future disease prevention programs and health care policies in which CHWs are an established part of the public health workforce. However, further investigation must be done on overcoming implementation challenges (eg, lack of time or funding), especially in smaller resource-challenged community-based clinics that serve minority patients.
社区卫生工作者（CHW）已被确定为改善健康结果和减少健康差距的医疗保健团队中的有效成员，尤其是在种族和少数民族中。越来越有兴趣利用基于健康信息学的策略将 CHW 整合到临床环境中，以帮助提供协调的患者护理并促进促进健康的行为。
在本次范围综述中，我们概述了基于健康信息学的 CHW-提供者沟通策略，旨在将 CHW 更好地整合到临床环境中。
进行了范围综述。
2013 年至 2018 年期间的美国来源符合条件。
通过 PubMed 和 Google 查询以及手动搜索关键参考文献来确定文献。文章通过标题、摘要然后全文进行筛选。
记录并分析了基于健康信息学的 CHW-提供者沟通策略及其对患者护理的影响。
31 篇文章讨论了基于健康信息学的 CHW-提供者沟通策略和/或将 CHW 整合到临床环境中的策略。这些策略包括 CHW 在电子健康记录（EHR）和其他基于 Web 的应用程序中直接记录患者就诊情况。这些技术用于向医疗保健提供者记录患者就诊情况和患者获得医疗服务的障碍，但也用于安全消息传递和转介系统。这些策略被发现满足提供者和 CHW 的需求，同时促进 CHW-提供者沟通、CHW 整合和协调护理。
基于健康信息学的 CHW-提供者沟通策略对于促进 CHW 整合并有可能改善患者结局和改善少数民族人群的健康差距非常重要。这种整合可以支持未来疾病预防计划和卫生保健政策的发展，其中 CHW 是公共卫生劳动力的重要组成部分。然而，必须进一步调查克服实施挑战（例如缺乏时间或资金）的方法，特别是在服务少数民族患者的资源有限的小型社区诊所中。
