Sisson Nathaniel, Starke Jenna
School of Medicine, University of Washington, Seattle, WA, USA.
Linacre Q. 2022 Feb;89(1):21-35. doi: 10.1177/00243639211059346. Epub 2022 Jan 17.
The Latino population in the United States faces significant health disparities compared to their White counterparts. Community-based processes in Gallatin County, Montana, through academic-community partnerships have identified strategies to overcome these barriers. One such strategy includes the utilization of community health workers (CHWs) in the Latino population-in Spanish, "Promotores de Salud." CHWs are often selected to target community health problems because they share the cultural, social, and demographic features of the population they serve. This paper explores the inherent ties between Catholic Social Teaching and the CHW health care model while focusing on a community-academic partnership in Montana that is implementing a CHW program. Catholic health care providers are called to apply CST principles to their health care systems and communities in order to achieve health equity for their patients. This paper proposes that community organizing and advocacy should be taught in medical school curricula across the country in order to promote physician involvement in solving public health disparities. Additionally, the authors suggest that practicing Catholic health care providers immediately incorporate community organizing through the use of CHWs to attain health equity for their patient panels.
与美国白人相比,美国的拉丁裔人口面临着显著的健康差距。蒙大拿州加勒廷县通过学术-社区伙伴关系开展的社区层面工作,已经确定了克服这些障碍的策略。其中一项策略包括在拉丁裔人群中利用社区卫生工作者(CHWs)——西班牙语为“Promotores de Salud”。选择社区卫生工作者来解决社区健康问题,是因为他们与所服务人群具有相同的文化、社会和人口特征。本文探讨了天主教社会教义与社区卫生工作者医疗模式之间的内在联系,同时聚焦于蒙大拿州一个正在实施社区卫生工作者项目的社区-学术伙伴关系。天主教医疗服务提供者被要求将天主教社会教义原则应用于其医疗系统和社区,以便为患者实现健康公平。本文提议,全国医学院校的课程都应教授社区组织和宣传内容,以促进医生参与解决公共卫生差距问题。此外,作者建议,执业天主教医疗服务提供者应立即通过利用社区卫生工作者来开展社区组织工作,为其患者群体实现健康公平。