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Community Health Workers as Support for Sickle Cell Care
Community Health Workers as Support for Sickle Cell Care
- Source :
- American Journal of Preventive Medicine. 51:S87-S98
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- Community health workers are increasingly recognized as useful for improving health care and health outcomes for a variety of chronic conditions. Community health workers can provide social support, navigation of health systems and resources, and lay counseling. Social and cultural alignment of community health workers with the population they serve is an important aspect of community health worker intervention. Although community health worker interventions have been shown to improve patient-centered outcomes in underserved communities, these interventions have not been evaluated with sickle cell disease. Evidence from other disease areas suggests that community health worker intervention also would be effective for these patients. Sickle cell disease is complex, with a range of barriers to multifaceted care needs at the individual, family/friend, clinical organization, and community levels. Care delivery is complicated by disparities in health care: access, delivery, services, and cultural mismatches between providers and families. Current practices inadequately address or provide incomplete control of symptoms, especially pain, resulting in decreased quality of life and high medical expense. The authors propose that care and care outcomes for people with sickle cell disease could be improved through community health worker case management, social support, and health system navigation. This report outlines implementation strategies in current use to test community health workers for sickle cell disease management in a variety of settings. National medical and advocacy efforts to develop the community health workforce for sickle cell disease management may enhance the progress and development of “best practices” for this area of community-based care.
- Subjects :
- medicine.medical_specialty
Epidemiology
Anemia, Sickle Cell
Article
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Nursing
Health care
Humans
Medicine
030212 general & internal medicine
Health policy
Community Health Workers
HRHIS
business.industry
Public Health, Environmental and Occupational Health
Disease Management
Health equity
3. Good health
Health promotion
030220 oncology & carcinogenesis
Family medicine
Chronic Disease
Community health
Quality of Life
Health education
business
Delivery of Health Care
Subjects
Details
- ISSN :
- 07493797
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- American Journal of Preventive Medicine
- Accession number :
- edsair.doi.dedup.....99b0416ca1289e0653863dbf516e9391
- Full Text :
- https://doi.org/10.1016/j.amepre.2016.01.016