评论:一个促进CHW劳动力可持续性的社区组织模式
Lesley Wolf1, Sherri Ohly, Lisa Renee Holderby-Fox
1Author Affiliations: UW-Madison, School of Medicine and Public Health, Population Health Institute, Madison, WI, USA (Wolf, Ohly, Bristol); Center for Community Health Alignment, University of South Carolina, Columbia, SC, USA (Holderby-Fox); LSU Health-New Orleans, Community Health Science and Policy, LSU School of Public Health, New Orleans, LA, USA (Wennerstrom); and Center for Healthcare Value and Effectiveness, Community and Population Medicine, School of Medicine, New Orleans, LA, USA (Wennerstrom).
社区卫生工作者对于健康公平至关重要, 但缺乏可持续的资金. 一个由CHW领导的中心利用社区组织来建立当地可持续性工作的能力.
科学领域:
- 公共卫生
- 卫生政策
- 社区健康
背景情况:
- 社区卫生工作者对于健康公平和解决健康的社会决定因素至关重要.
- 医疗保健机构的可持续资金和政策基础设施目前还不够.
- 缺乏资源阻碍了CHW工作人员的成长和影响.
研究的目的:
- 定义社区卫生工作者 (CHW) 的劳动力可持续性.
- 为当地可持续性努力建立CHW能力提供一个模型.
- 概述CHW领导可持续发展举措的步骤.
主要方法:
- 使用社区组织框架.
- 建立了一个由CHW领导的国家培训和技术援助中心.
- 专注于建立CHW及其盟友的能力.
主要成果:
- 制定了一个具有四个关键目标的模式:增强CHW领导力和政策能力,建立伙伴关系,建立支持系统和政策,并实施多种融资机制.
- 这种模式赋予CHW领导当地可持续发展工作的权力.
- 增强医疗保健工作者和盟友倡导劳动力可持续性的能力.
结论:
- 医疗保健工作人员的可持续性需要多方面的方法,包括领导力发展,伙伴关系,政策支持和多样化的资金.
- 一个由CHW领导的社区组织框架可以有效地建立可持续性的能力.
- 赋予医疗保健工作者权力是促进健康公平和确保繁荣劳动力的关键.
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