患者对社区卫生工作者项目的可行性、可接受性及影响的看法：一项定性研究
Patients' Perspectives on the Feasibility, Acceptability, and Impact of a Community Health Worker Program: A Qualitative Study.
作者信息
Chang Wei, Oo May, Rojas Adriana, Damian April Joy
机构信息
Weitzman Institute, Community Health Center, Inc., Middletown, Connecticut, USA.
Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
出版信息
Health Equity. 2021 Apr 9;5(1):160-168. doi: 10.1089/heq.2020.0159. eCollection 2021.
Abstract
To examine patients' perceptions of the feasibility, acceptability, and impact of a safety net-based community health worker (CHW) program. Semistructured interviews with patient participants diagnosed with type 2 diabetes (=13) were analyzed using a traditional text analysis method based on grounded theory. This study highlights that the CHW program can improve satisfaction in accessing health services and community resources, and overall health outcomes of patients in safety net practices. Patients' overall positive perception of the CHW program suggests that the intervention may be a viable solution to address the health and social needs of patients in safety net settings.
摘要
为了考察患者对基于安全网的社区卫生工作者（CHW）项目的可行性、可接受性及影响的看法。采用基于扎根理论的传统文本分析方法，对13名被诊断为2型糖尿病的患者参与者进行了半结构化访谈。本研究强调，社区卫生工作者项目可以提高患者在获取医疗服务和社区资源方面的满意度，以及安全网医疗机构中患者的整体健康结局。患者对社区卫生工作者项目总体上持积极看法，这表明该干预措施可能是满足安全网环境中患者健康和社会需求的可行解决方案。
相似文献
1
Patients' Perspectives on the Feasibility, Acceptability, and Impact of a Community Health Worker Program: A Qualitative Study.患者对社区卫生工作者项目的可行性、可接受性及影响的看法：一项定性研究
Health Equity. 2021 Apr 9;5(1):160-168. doi: 10.1089/heq.2020.0159. eCollection 2021.
2
Successes and Lessons Learned From Implementing Community Health Worker Programs in Community-Based and Clinical Settings: Insights From the Gulf Coast.在社区和临床环境中实施社区卫生工作者项目的成功经验与教训：来自墨西哥湾沿岸的见解
J Public Health Manag Pract. 2017 Nov/Dec;23 Suppl 6 Suppl, Gulf Region Health Outreach Program:S85-S93. doi: 10.1097/PHH.0000000000000653.
3
"Because Even the Person Living With HIV/AIDS Might Need to Make Babies" - Perspectives on the Drivers of Feasibility and Acceptability of an Integrated Community Health Worker Model in Iringa, Tanzania.“因为即使是艾滋病毒/艾滋病感染者也可能需要生育孩子”——对坦桑尼亚伊林加综合社区卫生工作者模式可行性和可接受性驱动因素的看法。
Int J Health Policy Manag. 2019 Sep 1;8(9):538-549. doi: 10.15171/ijhpm.2019.38.
4
The selection and training of primary health care workers in Ecuador: issues and alternatives for public policy.厄瓜多尔初级卫生保健工作者的选拔与培训：公共政策问题及对策
Int J Health Serv. 1988;18(3):471-93. doi: 10.2190/U8R7-T0G4-PPBN-V4HU.
5
Reactions of community members regarding community health workers' activities as a measure of the impact of a training program in Amazonas, Brazil.巴西亚马孙州社区成员对社区卫生工作者活动的反应，以此作为一项培训计划影响的衡量标准。
J Rural Med. 2015;10(1):7-19. doi: 10.2185/jrm.2890. Epub 2014 Dec 6.
6
The effect of a community health worker intervention on public satisfaction: evidence from an unregistered outcome in a cluster-randomized controlled trial in Dar es Salaam, Tanzania.社区卫生工作者干预对公众满意度的影响：来自坦桑尼亚达累斯萨拉姆一项未注册结局的整群随机对照试验的证据。
Hum Resour Health. 2019 Mar 29;17(1):23. doi: 10.1186/s12960-019-0355-7.
7
Supportive supervision and constructive relationships with healthcare workers support CHW performance: Use of a qualitative framework to evaluate CHW programming in Uganda.支持性监督和与医疗保健工作者的建设性关系支持 CHW 的表现：使用定性框架评估乌干达的 CHW 规划。
Hum Resour Health. 2018 Feb 13;16(1):11. doi: 10.1186/s12960-018-0272-1.
8
Promoting and supporting self-management for adults living in the community with physical chronic illness: A systematic review of the effectiveness and meaningfulness of the patient-practitioner encounter.促进和支持社区中患有慢性身体疾病的成年人进行自我管理：对医患互动的有效性和意义的系统评价。
JBI Libr Syst Rev. 2009;7(13):492-582. doi: 10.11124/01938924-200907130-00001.
9
No Quick Fixes: A Mixed Methods Feasibility Study of an Urban Community Health Worker Outreach Program for Intimate Partner Violence.
Violence Against Women. 2017 Mar;23(3):287-308. doi: 10.1177/1077801216640383. Epub 2016 Jul 9.
10
Impact of a Community Health Worker Program to Support Caregivers of Children With Special Health Care Needs and Address Social Determinants of Health.一项社区卫生工作者项目对支持有特殊医疗需求儿童的照料者及应对健康的社会决定因素的影响。
Clin Pediatr (Phila). 2019 Oct;58(11-12):1315-1320. doi: 10.1177/0009922819851263. Epub 2019 May 25.
引用本文的文献
1
Patients' Perspectives on Social Barriers to Care and the Acceptability and Impact of a Community Health Worker Program in Outpatient Ophthalmology.患者对门诊眼科护理社会障碍以及社区卫生工作者项目的可接受性和影响的看法。
Clin Ophthalmol. 2025 Aug 8;19:2647-2657. doi: 10.2147/OPTH.S541632. eCollection 2025.
2
Adverse Social Determinants of Health in Children with Newly Diagnosed Type 1 Diabetes: A Potential Role for Community Health Workers.新诊断1型糖尿病儿童健康的不良社会决定因素：社区卫生工作者的潜在作用
Pediatr Diabetes. 2024 Jan 23;2024:8810609. doi: 10.1155/2024/8810609. eCollection 2024.
3
Community Health Workers as Catalysts for Mental Health Promotion in Transgender and Nonbinary Communities.社区卫生工作者作为跨性别和非二元性别社区心理健康促进的催化剂。
Am J Public Health. 2025 Jan;115(1):34-36. doi: 10.2105/AJPH.2024.307898.
4
Patients' Perspectives on the Acceptability and Effectiveness of a Community Health Worker-Led Intervention to Increase Chronic Kidney Disease Knowledge and Screening among Underserved Latine Adults: The CARE 2.0 Study.患者对由社区卫生工作者主导的干预措施的可接受性和有效性的看法，该干预旨在提高服务不足的拉丁裔成年人的慢性肾脏病知识并促进筛查：CARE 2.0研究
Behav Sci (Basel). 2024 Aug 27;14(9):750. doi: 10.3390/bs14090750.
5
Exploring the feasibility and acceptability of community paramedicine programs in achieving vaccination equity: a qualitative study.探索社区医疗服务计划在实现疫苗接种公平性方面的可行性和可接受性：一项定性研究。
BMC Health Serv Res. 2024 Sep 4;24(1):1022. doi: 10.1186/s12913-024-11422-0.
6
"She's a Family Member": How Community Health Workers Impact Perinatal Mothers' Stress Through Social-Emotional Support and Connections to Programs and Resources.“她是家庭成员”：社区卫生工作者如何通过社会情感支持以及与项目和资源的联系来影响围产期母亲的压力。
Health Equity. 2024 Jul 10;8(1):469-479. doi: 10.1089/heq.2024.0038. eCollection 2024.
7
Acceptability of community health worker and peer supported interventions for ethnic minorities with type 2 diabetes: a qualitative systematic review.社区卫生工作者和同伴支持干预措施对少数民族2型糖尿病患者的可接受性：一项定性系统评价
Front Clin Diabetes Healthc. 2024 May 21;5:1306199. doi: 10.3389/fcdhc.2024.1306199. eCollection 2024.
8
Cross-country analysis of contextual factors and implementation strategies in under-5 mortality reduction in six low- and middle-income countries 2000-2015.2000-2015 年，6 个中低收入国家降低 5 岁以下儿童死亡率的跨国家背景因素和实施策略分析。
BMC Pediatr. 2024 Feb 28;23(Suppl 1):652. doi: 10.1186/s12887-023-03906-5.
9
Participant engagement in a community health worker-delivered intervention and type 2 diabetes clinical outcomes: a quasiexperimental study in MexicanAmericans.社区卫生工作者提供干预措施和 2 型糖尿病临床结局中参与者的参与情况：墨西哥裔美国人的准实验研究。
BMJ Open. 2022 Nov 29;12(11):e063521. doi: 10.1136/bmjopen-2022-063521.
本文引用的文献
1
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.
2
Patient and Community Health Worker Perceptions of Community Health Worker Clinical Integration.患者和社区卫生工作者对社区卫生工作者临床整合的看法。
J Community Health. 2019 Feb;44(1):159-168. doi: 10.1007/s10900-018-0566-1.
3
Community Health Workers as an Extension of Care Coordination in Primary Care: A Community-Based Cosupervisory Model.社区卫生工作者作为初级保健中护理协调的延伸：一种基于社区的共同监督模式。
J Ambul Care Manage. 2018 Oct/Dec;41(4):333-340. doi: 10.1097/JAC.0000000000000255.
4
Improving Health in Hard-to-Reach Communities.改善难以触及社区的健康状况。
Tex Med. 2018 Feb 1;114(2):28-32.
5
Community Health Worker Support for Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial.社区卫生工作者对患有多种慢性病的弱势患者的支持：一项随机临床试验。
Am J Public Health. 2017 Oct;107(10):1660-1667. doi: 10.2105/AJPH.2017.303985. Epub 2017 Aug 17.
6
Community Health Workers as Allies in Hypertension Self-Management and Medication Adherence in the United States, 2014.2014年美国社区卫生工作者在高血压自我管理及药物依从性方面的辅助作用
Prev Chronic Dis. 2016 Dec 29;13:E179. doi: 10.5888/pcd13.160236.
7
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.
8
Improving diabetes care and outcomes with community health workers.通过社区卫生工作者改善糖尿病护理及治疗效果。
Fam Pract. 2016 Oct;33(5):523-8. doi: 10.1093/fampra/cmw055. Epub 2016 Jul 14.
9
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.
10
A community health worker-led lifestyle behavior intervention for Latina (Hispanic) women: feasibility and outcomes of a randomized controlled trial.一项由社区卫生工作者主导的针对拉丁裔（西班牙裔）女性的生活方式行为干预：一项随机对照试验的可行性及结果
Int J Nurs Stud. 2015 Jan;52(1):75-87. doi: 10.1016/j.ijnurstu.2014.09.005. Epub 2014 Sep 22.
Zotero 插件