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Study Title and Description

Community Health Workers and a Culture of Health: Lessons from U.S. and Global Models



Key Questions Addressed
2 This article should be INCLUDED in the technical brief
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Primary Publication Information
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TitleData
Title Community Health Workers and a Culture of Health: Lessons from U.S. and Global Models
Author Hannay J, Heroux J
Country
Year 2016
Numbers

Secondary Publication Information
There are currently no secondary publications defined for this study.


Extraction Form: CHW Certification
Design Details
Question... Follow Up Answer Follow-up Answer
Study design ... (specify): Other ... This document is a "learning report", an analysis of CHWs roles in population health improvement in the U.S. and global context
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Patient population Asthma
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Cardiovascular disease (heart failure, hypertension, or atherosclerosis)
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Diabetes (type 2)
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Maternal and child health (preconception to 5 years)
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Asthma
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Cardiovascular disease (heart failure, hypertension, or atherosclerosis)
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Diabetes (type 2)
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Maternal and child health (preconception to 5 years)
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Age of participants Not specified
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Not specified
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How many CHWs were included in the study: NR
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Terminology for CHW Community care worker
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Community health aide
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Lay health worker
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Promotores/promotoras de salud
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Community care worker
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Community health aide
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Lay health worker
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Promotores/promotoras de salud
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Race/ethnicity of CHWs: N/A
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Language of CHWs: N/A (variable, subject addresses both global and U.S. settings)
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Component of certification evaluated: Training
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Core competency curricula
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Supervision
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Standardization
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Formal recognition
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Knowledge
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Experience
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Recruitment/retention
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Reimbursement
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Payment mechanisms
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Scope of practice
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Training
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Core competency curricula
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Supervision
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Standardization
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Formal recognition
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Knowledge
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Experience
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Recruitment/retention
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Reimbursement
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Payment mechanisms
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Scope of practice
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Outcomes measured: Not reported
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Not reported
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Not reported
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Not reported
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Not reported
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Not reported
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Not reported
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Not reported
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State: N/A (variable, subject addresses both global and U.S. settings)
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Setting Not specified
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Not specified
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Author affiliation: Foundation
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Foundation
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Funding source Private/industry
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Private/industry
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Does this apply to Guiding Question 1 (effect of CHW certification on CHW retention, recruitment, scope of practice, reimbursement, or employer liability Yes
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If yes for Guiding Question 1, explain. The authors do describe examples among certain U.S. states where certification either has affected or will affect reimbursement, recruitment, and scope of practice. No specific diseases or population characteristics were evaluated.
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Does this apply to Guiding Question 2 (effect of CHW certification on quality or consistency of care, health outcomes, or patient/family acceptance, trust, and use of CHWs)? No
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If yes for Guiding Question 2, explain.
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Does this apply to Guiding Question 3 (What is the context of CHW certification requirements and their implementation in the United States)? Yes
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If yes for Guiding Question 3, explain Authors describe several examples from individual U.S. states where a certification pathway has been established and operated by specific states. The descriptions are brief and include references to Minnesota, Massachusetts, Texas, and Washington.
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Does this apply to Guiding Question 4 (potential positive and negative implications of requiring CHW certification)? Yes
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If yes for Guiding Question 4, explain. On page 34 under the "Certification" section, authors list benefits touted by proponents of certification that include "better recognition of CHWs among physicians, health system administrators, and Medicaid; provides transferrable skills; increases expectations for wages; and can improve quality of care". They also cite concerns from thought leaders on the subject that certification may stifle CHWs in the performance of their roles, exclude prospective CHWs from joining the workforce, or result in difficulties arising from a newly certified workforce attempting to interface with systems that are not prepared or designed to accept and utilize CHWs.
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Does this apply for Guiding Question 5 (What future research is needed to close existing evidence gaps regarding CHW certification)? Yes
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If yes for Guiding Question 5, explain. Authors call for future research that will "Investigate what makes for effective CHW programs and CHWs" and also research that would illuminate the effect of CHWs on population health.
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Results & Comparisons

No Results found.