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Summary
This summary is machine-generated.

Community outreach workers (CWs) provide vital support to marginalized individuals navigating healthcare. This program demonstrates significant positive impacts, including reduced emergency department use, highlighting the need for sustained funding.

Keywords:
Community health workerscommunity outreach workersteam-based care

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Area of Science:

  • Health Services Research
  • Community Health
  • Primary Care

Background:

  • Community outreach workers (CWs) are crucial for connecting marginalized populations with primary care.
  • Their value is often underestimated in healthcare transformations due to limited evidence.
  • This study evaluates a CW program in rural British Columbia.

Purpose of the Study:

  • To assess the efficacy and impact of a community outreach worker program.
  • To provide evidence for the program's value in primary health-care transformation.
  • To advocate for stable funding for the CW program.

Main Methods:

  • Program capacity assessed via service and financial reports.
  • Outcomes analyzed using electronic medical records and health system data.
  • Qualitative insights gathered through group discussions with stakeholders.

Main Results:

  • CWs supported 15 clients, averaging 64 hours/month, with 28 visits and 10 referrals.
  • Clients typically had low socioeconomic status and faced challenges navigating healthcare.
  • The program facilitated 142 provider attachments, reduced emergency department use by 41%, and increased primary care use by 6%.

Conclusions:

  • The CW program serves clients not covered by existing health authority services.
  • Clients require specialized support for community functioning.
  • Recognizing the CW program's value is essential for securing stable funding during healthcare transformation.