Integrating community health workers into a patient-centered medical home to support disease self-ma

Authors, Primary Wennerstrom,Ashley;Bui,Tap;HardenBarrios,Jewel;PriceHaywood,Eboni G.
Title Primary Integrating community health workers into a patient-centered medical home to support disease self-management among Vietnamese Americans: Lessons learned.
Periodical Full Health Promotion Practice
Pub Year 2005
Volume 16
issue 1
Start Page 72-83
Abstract There is evidence that patient-centered medical homes (PCMHs) and community health workers (CHWs) improve chronic disease management. There are few models for integrating CHWs into PCMHs in order to enhance disease self-management support among diverse populations. In this article, we describe how a community-based nonprofit agency, a PCMH, and academic partners collaborated to develop and implement the Patient Resource and Education Program (PREP). We employed CHWs as PCMH care team members to provide health education and support to Vietnamese American patients with uncontrolled diabetes and/or hypertension. We began by conducting focus groups to assess patient knowledge, desire for support, and availability of community resources. Based on findings, we developed PREP with CHW guidance on cultural tailoring of educational materials and methods. CHWs received training in core competencies related to self-management support principles and conducted the 4-month intervention for PCMH patients. Throughout the program, we conducted process evaluation through structured team meetings and patient satisfaction surveys. We describe successes and challenges associated with PREP delivery including patient recruitment, structuring/documenting visits, and establishing effective care team integration, work flow, and communication. Strategies for mitigating these issues are presented, and we make recommendations for other PCMHs seeking to integrate CHWs into care teams. (PsycINFO Database Record (c) 2015 APA, all rights reserved) (journal abstract)
Publisher Not Available
Place of Publication Not Available
Author/Address Price-Haywood, Eboni G.: eprice@tulane.edu
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Patient-Centered Care
Special Population(s) Not Available
Case Study Yes
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No