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Study Title and Description

Opportunities for Community Health Workers in the Era of Health Reform



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 Opportunities for Community Health Workers in the Era of Health Reform
Author Bovbjerg RB, Eyster L, Ormond BA, Anderson T, Richardson E
Country
Year 2013
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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 ... Report by Urban Institute describing payment reforms and CHW work force development after the ACA.
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Patient population Cardiovascular disease (heart failure, hypertension, or atherosclerosis)
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Diabetes (type 2)
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Age of participants 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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Promotores/promotoras de salud
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Race/ethnicity of CHWs: NR (N/A)
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Language of CHWs: NR (N/A)
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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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Mentorship
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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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Employer liability
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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
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Setting Not specified
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Author affiliation: Foundation
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Funding source Foundation
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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. Authors describe that certification does not yet have a proven effect on CHW reimbursement, recruitment or retention.
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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)? Yes
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If yes for Guiding Question 2, explain. In Appendix B, authors recite the argument that patients could suffer poor outcomes without standardized, evidence-based training. There are no actual outcomes reported associating CHW certification with health outcomes.
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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 provide a contemporaneous description of certification efforts at the national and state level. They also provide historical context for discussions regarding certification.
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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. Authors summarize both benefits and potential hazards of certification as culled from the body evidence cited throughout the report.
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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 do explicitly state, "Higher wages, more secure jobs, and better outcomes for patients also need to be empirically verified as effects of certification" (page 10).
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Results & Comparisons

No Results found.