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Integrating Community Health Workers Into Medical Homes
Elizabeth A Rogers1, Sarah Turcotte Manser2, Joan Cleary3
1Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, Minnesota earogers@umn.edu.
Annals of Family Medicine
|January 10, 2018
Summary
Integrating community health workers (CHWs) into patient-centered medical homes (PCMHs) faces barriers like clinic culture and leadership support. CHWs provide vital support through outreach, education, and navigation.
Area of Science:
- Health Services Research
- Public Health
- Qualitative Research
Background:
- Community health workers (CHWs) are recognized for supporting chronic disease self-management.
- Patient-centered medical homes (PCMHs) are encouraged to integrate CHWs, yet adoption in Minnesota remains low.
Purpose of the Study:
- To identify facilitators and barriers to CHW model utilization within Minnesota PCMHs.
- To define the roles community health workers perform within PCMH teams.
Main Methods:
- Conducted 51 semistructured interviews with key informants across 9 Minnesota clinics.
- Included clinic leaders, clinicians, care coordinators, and CHWs (in 5 clinics) and staff (in 4 clinics without CHWs).
- Employed thematic coding for qualitative analysis of interview data.
Main Results:
- Key facilitators and barriers included leadership support, clinic innovation culture, prioritization of nonmedical needs, and perceived sustainability.
- CHWs performed roles such as outreach, health education, community resource linkage, system navigation, and clinician-patient communication facilitation.
Conclusions:
- Facilitators and barriers to CHW adoption in PCMHs were identified in Minnesota.
- Documented the diverse roles CHWs fulfill within PCMH care teams.
- Findings offer strategies for enhancing CHW workforce integration and utilization.
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