Witmer A, Seifer S D, Finocchio L, Leslie J, O'Neil E H
Pew Health Professions Commission, Center for the Health Professions, University of California at San Francisco 94109, USA.
Am J Public Health. 1995 Aug;85(8 Pt 1):1055-8. doi: 10.2105/ajph.85.8_pt_1.1055.
As the US health care system strives to function efficiently, encourage preventive and primary care, improve quality, and overcome nonfinancial barriers to care, the potential exists for community health workers to further these goals. Community health workers can increase access to care and facilitate appropriate use of health resources by providing outreach and cultural linkages between communities and delivery systems; reduce costs by providing health education, screening, detection, and basic emergency care; and improve quality by contributing to patient-provider communication, continuity of care, and consumer protection. Information sharing, program support, program evaluation, and continuing education are needed to expand the use of community health workers and better integrate them into the health care delivery system.
在美国医疗保健系统努力高效运作、鼓励预防和初级保健、提高质量并克服医疗保健的非财务障碍之际，社区卫生工作者有潜力推动实现这些目标。社区卫生工作者可以通过在社区与医疗服务系统之间提供外展服务和文化联系，增加获得医疗服务的机会并促进对卫生资源的合理利用；通过提供健康教育、筛查、检测和基本急救护理来降低成本；并通过促进医患沟通、医疗连续性和消费者保护来提高质量。需要信息共享、项目支持、项目评估和继续教育，以扩大社区卫生工作者的使用范围，并更好地将他们融入医疗保健服务体系。
