Impact of Community Health Workers on Access to Care for Rural Populations in the United States: A Systematic Review.
Community Health Worker (CHW) interventions have shown potential to reduce inequities for underserved populations. However, there is a lack of support for CHW integration in the delivery of health care. This may be of particular importance in rural areas in the Unites States where access to care rem...
| Publicado en: | Journal of Community Health Vol. 47; no. 3; pp. 539 - 554 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Springer Nature
Jun2022
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=157212978&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 157212978 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Jun2022 vid: 47 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 157212978 10.1007/s10900-021-01052-6 ppf: 539 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P size: 643KB tig: atl: Impact of Community Health Workers on Access to Care for Rural Populations in the United States: A Systematic Review. aug: au: Berini, Carole R. Bonilha, Heather S. Simpson, Annie N. affil: Department of Healthcare Leadership and Management, Medical University of South Carolina, 29425, Charleston, SC, USA Department of Family Medicine, Medical University of South Carolina, 5 Charleston Center Dr., Suite 263, MSC192, 29425, Charleston, SC, USA Department of Rehabilitation Sciences, Medical University of South Carolina, 29425, Charleston, SC, USA su: United States Evaluation of medical care Health education Health services accessibility Rural conditions Women's health Online information services Psychology information storage & retrieval systems Systematic reviews Descriptive statistics MEDLINE sug: subj: Evaluation of medical care Health education Health services accessibility Rural conditions Women's health United States Online information services Psychology information storage & retrieval systems Systematic reviews Descriptive statistics MEDLINE keyword: Access to Health Care Community Health Worker Rural Health Underserved Populations Access to Health Care Community Health Worker Rural Health Underserved Populations ab: Community Health Worker (CHW) interventions have shown potential to reduce inequities for underserved populations. However, there is a lack of support for CHW integration in the delivery of health care. This may be of particular importance in rural areas in the Unites States where access to care remains problematic. This review aims to describe CHW interventions and their outcomes in rural populations in the US. Peer reviewed literature was searched in PubMed and PsycINFO for articles published in English from 2015 to February 2021. Title and abstract screening was performed followed by full text screening. Quality of the included studies was assessed using the Downs and Black score. A total of 26 studies met inclusion criteria. The largest proportion were pre-post program evaluation or cohort studies (46.2%). Many described CHW training (69%). Almost a third (30%) indicated the CHW was integrated within the health care team. Interventions aimed to provide health education (46%), links to community resources (27%), or both (27%). Chronic conditions were the concern for most interventions (38.5%) followed by women's health (34.6%). Nearly all studies reported positive improvement in measured outcomes. In addition, studies examining cost reported positive return on investment. This review offers a broad overview of CHW interventions in rural settings in the United States. It provides evidence that CHW can improve access to care in rural settings and may represent a cost-effective investment for the healthcare system. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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