Evaluating a Community-Placed and Clinically Integrated Community Health Worker Program: A Realist Approach
| Autor: | Gladys B. Asiedu, Jane W. Njeru, Onelis Quirindongo-Cedeno, Tara M Nelson, Ron Buzard, Carmen Radecki Breitkopf, Michael W OʼBrien, Mark L. Wieland, Jennifer L. Ridgeway, Jean M Gunderson |
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| Rok vydání: | 2019 |
| Předmět: |
Program evaluation
media_common.quotation_subject Context (language use) Trust Midwestern United States Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing Patient-Centered Care Health care Humans 030212 general & internal medicine Empowerment media_common Self-efficacy Community Health Workers Patient Care Team Primary Health Care business.industry 030503 health policy & services Health Policy Health services research Focus Groups Focus group Self Efficacy Community health Health Services Research 0305 other medical science Psychology business Program Evaluation |
| Zdroj: | The Journal of ambulatory care management. 42(2) |
| ISSN: | 1550-3267 |
| Popis: | Community health worker (CHW) programs can act as bridges between patients and health care teams, but the complexity and variability of program components and outcomes make them difficult to evaluate. This evaluation used a realist approach to identify underlying mechanisms and contextual factors associated with successful implementation of a community-placed CHW program affiliated with a primary care practice in the Midwest United States. The analysis identified mechanisms by which stakeholders built trust, self-efficacy, and empowerment to improve patient-centered outcomes and experiences. It also identified conditions that support activation of these mechanisms, including the ability of CHWs to make home visits, effective communication between members of the care team across settings, and clarity about the role of the CHW relative to other support services for patients. This type of context-mechanism-outcome evaluation facilitated development of recommendations responsive to local context. |
| Databáze: | OpenAIRE |
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