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The Community-Based Health Workforce in Public Health and Health Care Delivery
Kaha Ahmed1, Letitia Presley-Cantrell, Refilwe Moeti
1Centers for Disease Control and Prevention, Atlanta, Georgia (Mss Ahmed and Moeti, Drs Presley-Cantrell and Hacker); Office of Minority Health, Rockville, Maryland (Dr Wong); Substance Abuse and Mental Health Services Administration, Kansas City, Missouri (Ms Freese); The Assistant Secretary for Planning and Evaluation, Washington, District of Columbia (Ms Taplin); Health Resources & Services Administration, Rockville, Maryland (Mss Rodrigue and Spencer).
The community-based workforce improves health outcomes but faces varied role definitions and funding. A U.S. Department of Health and Human Services (HHS) workgroup aims to align this vital public health sector.
Area of Science:
- Public Health
- Health Services Research
- Health Equity
Background:
- The term "community-based workforce" encompasses diverse roles in public health, healthcare, and human services.
- Existing definitions, work expectations, and funding for this workforce are inconsistent across sectors.
Purpose of the Study:
- To define the roles within the community-based workforce.
- To identify training, career advancement, and compensation opportunities.
- To address challenges in workforce description and funding.
Main Methods:
- A workgroup of U.S. Department of Health and Human Services (HHS) agencies convened.
- The group aimed to define workforce roles and existing support mechanisms.
Main Results:
- The community-based workforce has a proven track record in improving health outcomes and addressing social determinants of health.
- Inconsistencies in workforce descriptions, role expectations, and funding persist.
- Comprehensive strategies are needed within HHS and public health to support this workforce.
Conclusions:
- Adopting a common term "community-based workforce" can foster alignment and collaboration.
- Understanding the value and opportunities is crucial for the long-term sustainability of this workforce.
- This workforce is essential for advancing health equity.
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