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Evaluating a Community-Placed and Clinically Integrated Community Health Worker Program: A Realist Approach
- Source :
- The Journal of ambulatory care management. 42(2)
- Publication Year :
- 2019
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 15503267
- Volume :
- 42
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- The Journal of ambulatory care management
- Accession number :
- edsair.doi.dedup.....a6418fcbad80163f2d577255859142f2