TY - JOUR
T1 - Community–Clinical Linkages With Community Health Workers in the United States
T2 - A Scoping Review
AU - Lohr, Abby M.
AU - Ingram, Maia
AU - Nuñez, Annabelle V.
AU - Reinschmidt, Kerstin M.
AU - Carvajal, Scott C.
N1 - Funding Information:
1University of Arizona, Tucson, AZ, USA 2University of Oklahoma, Oklahoma City, OK, USA Authors’ Note: We would like to acknowledge Mari J. Stoddard from the University of Arizona Health Sciences Library for her support with reference extraction. This journal article was supported by the Grant or Cooperative Agreement No. DP005002 under the Health Promotion and Disease Prevention Research Centers Program, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services. Address correspondence to Abby M. Lohr, Mel and Enid Zuckerman College of Public Health, University of Arizona Prevention Research Center, 1295 North Martin Avenue, Tucson, AZ 85724, USA; e-mail: abbylohr@email.arizona.edu.
Publisher Copyright:
© 2018, © 2018 Society for Public Health Education.
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Despite the proliferation of community–clinical linkage (CCL) interventions with community health workers (CHWs), little is known about the components of these programs or how linkages are realized. In this scoping review, we synthesize evidence concerning the role of CHWs in creating and sustaining CCLs aimed at improving individual health outcomes. Our inclusion criteria included peer-reviewed articles that described a CHW intervention in the United States that used a CCL model. A total of 2,776 titles and/or abstracts were screened and 47 articles underwent full text review. Two independent reviewers rated the screened articles based on additional criteria including the CHW connection to community and evidence of linkage follow up rather than simple referral. For the 11 peer-reviewed articles included in the final review, we describe the CHW’s relationship to the community, training, and role within the intervention, linkage, and outcomes. We used a standardized framework to determine commonalities in CHW roles across the interventions. CCLs with CHWs positively affect the delivery of both clinical care and community resources across a range of disease areas in a variety of contexts. To identify effective CCL models, additional information on CHW training, CCL follow-up methods, and the CHW role in CCLs is recommended.
AB - Despite the proliferation of community–clinical linkage (CCL) interventions with community health workers (CHWs), little is known about the components of these programs or how linkages are realized. In this scoping review, we synthesize evidence concerning the role of CHWs in creating and sustaining CCLs aimed at improving individual health outcomes. Our inclusion criteria included peer-reviewed articles that described a CHW intervention in the United States that used a CCL model. A total of 2,776 titles and/or abstracts were screened and 47 articles underwent full text review. Two independent reviewers rated the screened articles based on additional criteria including the CHW connection to community and evidence of linkage follow up rather than simple referral. For the 11 peer-reviewed articles included in the final review, we describe the CHW’s relationship to the community, training, and role within the intervention, linkage, and outcomes. We used a standardized framework to determine commonalities in CHW roles across the interventions. CCLs with CHWs positively affect the delivery of both clinical care and community resources across a range of disease areas in a variety of contexts. To identify effective CCL models, additional information on CHW training, CCL follow-up methods, and the CHW role in CCLs is recommended.
KW - lay health advisors/community health workers
KW - partnerships/coalitions
KW - social determinants of health
UR - http://www.scopus.com/inward/record.url?scp=85046810531&partnerID=8YFLogxK
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U2 - 10.1177/1524839918754868
DO - 10.1177/1524839918754868
M3 - Article
C2 - 29363334
AN - SCOPUS:85046810531
SN - 1524-8399
VL - 19
SP - 349
EP - 360
JO - Health promotion practice
JF - Health promotion practice
IS - 3
ER -