一场研讨会的记录,以促进社区卫生工作者对科的干预
Tessa K Novick1, Lilia Cervantes2, Ladan Golestaneh3
1Department of Internal Medicine, University of Texas at Austin Dell Medical School, Austin, Texas.
Journal of the American Society of Nephrology : JASN
|September 20, 2023
概括
社区卫生工作者 (CHW) 的干预有望改善拉丁裔人口的病结果. 解决系统性障碍和加强招聘对于更广泛的实施至关重要,需要研究来证实有效性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 与非拉丁裔白人人口相比,拉丁裔人口的功能衰竭负担不成比例.
- 慢性病 (CKD) 的患病率在这些群体中是相似的,表明结果的差异.
- 社区卫生工作者 (CHW) 的干预措施对拉丁人有效,但在病治疗中未得到充分利用.
研究的目的:
- 为了确定病的成功,挑战和解决方案,CHW项目为拉丁人提供服务.
- 收集有关干预策略和未来研究的建议.
- 促进拉丁裔患有脏疾病的患者更广泛地采用CHW计划.
主要方法:
- 召开了一个与四个现有的病CHW计划的研讨会.
- 促进了关于计划促进者的讨论,障碍和研究需求.
- 综合了项目代表的关键点和建议.
主要成果:
- 该计划的成功因素包括建立信任,参与者主导的干预设计,自给自足工具和创伤信息化的方法.
- 关键的挑战包括持续的系统性障碍和参与者招聘和保留方面的困难.
- 需要研究来量化CHW干预对结果和全国实施战略的影响.
结论:
- 医疗保健医院的干预提供了一个有前途的途径,以解决拉丁美洲社区的病差异.
- 克服系统性障碍和改善招聘/保留对于计划的可持续性至关重要.
- 进一步的研究至关重要,以验证其有效性,并指导全国范围内针对病的CHW计划的可扩展实施.
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