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社区参与式方法识别社区卫生工作者实践的通用评估指标。

A Community Participatory Approach to Identify Common Evaluation Indicators for Community Health Worker Practice.

出版信息

Prog Community Health Partnersh. 2021;15(2):217-224. doi: 10.1353/cpr.2021.0023.

DOI:10.1353/cpr.2021.0023
PMID:34248065
Abstract

BACKGROUND

Substantial evidence supports community health workers' (CHWs) contributions to improving health and reducing inequities. Common evaluation indicators can strengthen the evidence base and support the profession.

OBJECTIVES

We describe the development of a 6-year community-academic partnership to identify common CHW process and outcome indicators.

METHODS

Methods include interviews, focus groups and a survey conducted in Michigan, a Summit in Oregon, consultations at national conferences, and regular conference calls.

RESULTS

Using popular education as a primary strategy, we have honed our original goal, identified a set of 20 recommended constructs, developed a national constituency with international connections, and obtained dedicated funding.

CONCLUSIONS

Participatory identification, development, and uptake of a set of common indicators (CI) for CHW practice will allow data to be aggregated at multiple levels, potentially leading to more sustainable financing of CHW programs. Given that measurement drives practice, a set of common CHW indicators can help to preserve the flexibility and integrity of the CHW role.

摘要

背景

大量证据表明,社区卫生工作者(CHW)有助于改善健康状况和减少不平等。常见的评估指标可以加强证据基础并支持该职业。

目的

我们描述了一项为期六年的社区学术合作关系,旨在确定常见的 CHW 过程和结果指标。

方法

方法包括在密歇根州进行的访谈、焦点小组和调查、在俄勒冈州举行的峰会、在全国会议上进行的磋商以及定期电话会议。

结果

我们使用大众教育作为主要策略,调整了最初的目标,确定了一套 20 个推荐的结构,建立了一个具有国际联系的全国联盟,并获得了专门的资金。

结论

参与式确定、制定和采用一套通用的 CHW 实践指标(CI)将允许在多个层面上汇总数据,这可能会导致 CHW 计划的资金更加可持续。鉴于衡量标准推动实践,一套通用的 CHW 指标可以帮助保持 CHW 角色的灵活性和完整性。

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