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Study Title and Description

The Evolution, Expansion, and Effectiveness of Community Health Workers



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 The Evolution, Expansion, and Effectiveness of Community Health Workers
Author Bovbjerg RR, 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 the Urban Institute examining development of CHW role and future trajectories for the profession.
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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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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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Community health representative
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Health navigator
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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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Standardization
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Formal recognition
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Knowledge
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Reimbursement
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Payment mechanisms
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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 (article addresses national contex)
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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. In the "Supply" section addressing workforce development, authors argue that CHW certification could improve recruitment efforts and transform payment mechanisms.
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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 provide a historical background as well as current descriptions of various states' efforts to certify CHWs. They also acknowledge the concerns that have arisen regarding efforts to create certification pathways.
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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 state that employers may have apprehension to hire CHWs, but suspect this trend will reverse as the CHW workforce is increasingly formalized through certification resulting in payment mechanism developments and increased employment.
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Does this apply for Guiding Question 5 (What future research is needed to close existing evidence gaps regarding CHW certification)? No
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If yes for Guiding Question 5, explain.
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Results & Comparisons

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