PDF(Pubmed)
Abstract：
BACKGROUND: Community health worker (CHW) interventions have demonstrated positive impacts globally, with the COVID-19 pandemic further highlighting the potential of CHWs at the frontline to support prevention, outreach, and healthcare delivery. As the workforce expands, understanding the work and capabilities of CHWs is key to design successful interventions. This study examines the perspectives of experienced CHWs in Chicago about their current work and strategies for success.
METHODS: As part of a community-academic partnership in Chicago, semi-structured interviews were completed with individuals who held positions aligned with CHW. Interviews were conducted between January and April 2022. Questions focused on participants\' work and factors contributing to their effectiveness to gain insights into workforce strategies for success to be applied in healthcare and community settings. De-identified transcripts were analyzed using inductive reasoning with codes organized into themes and subthemes under two domains identified a priori. The themes informed a logic model focused on the early stages to support the success of CHWs in their role.
RESULTS: Fourteen individuals participated in the study. The two predetermined domains in this study were: current work of CHWs and strategies for CHWs to be successful. Five themes were identified about CHWs\' current work: providing services, building alliances with clients, establishing and maintaining collaborations, collecting data, and experiencing challenges in role. From their perspectives, all these responsibilities enhance client care and support workforce sustainability efforts. Five themes emerged about strategies for the success of CHWs: background of CHWs, champions to support work of CHWs, materials to perform work of CHWs, preparation for CHW role, and characteristics of CHWs. Participants described key traits CHWs should possess to be hired, individuals who can champion and advocate for their work, and specific materials needed to fulfill responsibilities. They reported that training and familiarity with the community were integral to developing and refining the qualities and skills necessary to be effective in their role.
CONCLUSIONS: CHWs play an increasingly important role in enhancing healthcare delivery and improving health outcomes. This study offers a framework for policymakers, communities, and organizations to utilize for preparing CHWs to succeed in their roles.
METHODS: As part of a community-academic partnership in Chicago, semi-structured interviews were completed with individuals who held positions aligned with CHW. Interviews were conducted between January and April 2022. Questions focused on participants\' work and factors contributing to their effectiveness to gain insights into workforce strategies for success to be applied in healthcare and community settings. De-identified transcripts were analyzed using inductive reasoning with codes organized into themes and subthemes under two domains identified a priori. The themes informed a logic model focused on the early stages to support the success of CHWs in their role.
RESULTS: Fourteen individuals participated in the study. The two predetermined domains in this study were: current work of CHWs and strategies for CHWs to be successful. Five themes were identified about CHWs\' current work: providing services, building alliances with clients, establishing and maintaining collaborations, collecting data, and experiencing challenges in role. From their perspectives, all these responsibilities enhance client care and support workforce sustainability efforts. Five themes emerged about strategies for the success of CHWs: background of CHWs, champions to support work of CHWs, materials to perform work of CHWs, preparation for CHW role, and characteristics of CHWs. Participants described key traits CHWs should possess to be hired, individuals who can champion and advocate for their work, and specific materials needed to fulfill responsibilities. They reported that training and familiarity with the community were integral to developing and refining the qualities and skills necessary to be effective in their role.
CONCLUSIONS: CHWs play an increasingly important role in enhancing healthcare delivery and improving health outcomes. This study offers a framework for policymakers, communities, and organizations to utilize for preparing CHWs to succeed in their roles.
摘要：
背景：社区卫生工作者（CHW）干预措施已在全球范围内显示出积极的影响，随着COVID-19大流行进一步凸显了CHWs在前线支持预防的潜力，外展，和医疗保健交付。随着劳动力的扩大，了解CHW的工作和能力是设计成功干预措施的关键。本研究考察了芝加哥经验丰富的CHW对其当前工作和成功策略的看法。
方法：作为芝加哥社区-学术伙伴关系的一部分，半结构化访谈完成了与CHW保持一致职位的个人。面试于2022年1月至4月进行。问题集中在参与者的工作和因素，有助于他们的有效性，以深入了解劳动力战略的成功应用在医疗保健和社区环境。使用归纳推理对去识别的转录本进行分析，并将代码组织为先验确定的两个领域下的主题和子主题。这些主题为逻辑模型提供了一个逻辑模型，该模型侧重于早期阶段，以支持CHWs在其角色中的成功。
结果：14个人参与了这项研究。这项研究中的两个预定领域是：CHW的当前工作和CHW成功的策略。确定了关于CHWs当前工作的五个主题：提供服务，与客户建立联盟，建立和维持合作，收集数据,在角色中经历挑战。从他们的角度来看,所有这些责任都加强了对客户的关怀，并支持劳动力的可持续发展努力。关于CHWs成功战略的五个主题出现了：CHWs的背景，冠军支持CHW的工作，执行CHW工作的材料，准备CHW的作用，和CHW的特征。参与者描述了CHW应该具备的关键特征，能够支持和倡导他们工作的人，以及履行职责所需的具体材料。他们报告说，培训和熟悉社区是发展和完善有效发挥其作用所必需的素质和技能的组成部分。
结论：CHW在加强医疗保健服务和改善健康结果方面发挥着越来越重要的作用。这项研究为决策者提供了一个框架，社区,和组织用来准备CHW以成功发挥作用。
方法：作为芝加哥社区-学术伙伴关系的一部分，半结构化访谈完成了与CHW保持一致职位的个人。面试于2022年1月至4月进行。问题集中在参与者的工作和因素，有助于他们的有效性，以深入了解劳动力战略的成功应用在医疗保健和社区环境。使用归纳推理对去识别的转录本进行分析，并将代码组织为先验确定的两个领域下的主题和子主题。这些主题为逻辑模型提供了一个逻辑模型，该模型侧重于早期阶段，以支持CHWs在其角色中的成功。
结果：14个人参与了这项研究。这项研究中的两个预定领域是：CHW的当前工作和CHW成功的策略。确定了关于CHWs当前工作的五个主题：提供服务，与客户建立联盟，建立和维持合作，收集数据,在角色中经历挑战。从他们的角度来看,所有这些责任都加强了对客户的关怀，并支持劳动力的可持续发展努力。关于CHWs成功战略的五个主题出现了：CHWs的背景，冠军支持CHW的工作，执行CHW工作的材料，准备CHW的作用，和CHW的特征。参与者描述了CHW应该具备的关键特征，能够支持和倡导他们工作的人，以及履行职责所需的具体材料。他们报告说，培训和熟悉社区是发展和完善有效发挥其作用所必需的素质和技能的组成部分。
结论：CHW在加强医疗保健服务和改善健康结果方面发挥着越来越重要的作用。这项研究为决策者提供了一个框架，社区,和组织用来准备CHW以成功发挥作用。
