Roles and Functions of Community Health Workers in Primary Care



Authors: Hartzler A, Tuzzio L, Hsu C, and Wagner E
Year: 2018
State: NatDoc: National Document
Website link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951253/
Publicly Available: Yes
Billing and Reimbursement:
Certification: CHW role scope of practice
Evidence Generation:
Policy:
Sustainable Financing: Including community-based CHWs, Documentation of how CHWs can work within care teams, Results from pilots studies etc. that aren't published in formal literature, Surveys and assessment tools to define and develop workforce
Workforce Development: Data sharing between social services and clinical teams, General other (including mention of “employment practices”), Outreach education and TA to employers on CHW generally, Training- Content modes delivery

Community health workers have potential to enhance primary care access and quality, but remain underutilized. To provide guidance on their integration, we characterized roles and functions of community health workers in primary care through a literature review and synthesis. Analysis of 30 studies identified 12 functions (ie, care coordination, health coaching, social support, health assess- ment, resource linking, case management, medication management, remote care, follow-up, administration, health education, and literacy support) and 3 prominent roles representing clusters of functions: clinical services, community resource connections, and health education and coaching. We discuss implica- tions for community health worker training and clinical support in primary care.



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