330 Community Health Worker integration as a culturally competent component of patient-centered wellness
Objectives/Goals: 1) Discuss process of pilot integration of Community Health Worker (CHW) services as a component of patient-centered healthcare service delivery in 3 clinic models. 2) Summarize profiles of patients who self-select to utilize CHW services. 3) Discuss social determinants of health i...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-04-01
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| Series: | Journal of Clinical and Translational Science |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2059866124009610/type/journal_article |
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| author | Antonette Francis-Shearer Amber Singleton Karla McCants Danette M Jolly Maggie Cheyenne Garland Katherine Bolanos Clinic Luke Mueller Martha I Arrieta Frederick Whiddon Ashley Williams |
| author_facet | Antonette Francis-Shearer Amber Singleton Karla McCants Danette M Jolly Maggie Cheyenne Garland Katherine Bolanos Clinic Luke Mueller Martha I Arrieta Frederick Whiddon Ashley Williams |
| author_sort | Antonette Francis-Shearer |
| collection | DOAJ |
| description | Objectives/Goals: 1) Discuss process of pilot integration of Community Health Worker (CHW) services as a component of patient-centered healthcare service delivery in 3 clinic models. 2) Summarize profiles of patients who self-select to utilize CHW services. 3) Discuss social determinants of health impacts of underserved and historically marginalized populations. Methods/Study Population: The priority population consists of individuals living in Mobile AL at or below poverty level. USA Health Center for Healthy Communities (CHC) piloted the integration of CHW services at USA Health Stanton Road Clinic (SRC), at USA Student Run Free Clinic (SRFC), and as part of a Medi Hub Outreach Clinic with the historically underserved MOWA Choctaw native American population. SRC is a high-utilization clinic for uninsured or underinsured patients across the breadth of the Gulf Coast. The other 2 sites serve similar clientele. Social determinants of health (SDOH) screenings at intake facilitate CHW referral for a clients’ unique needs for support at healthcare or social care agencies. Referral summaries can then be used to guide planning, community collaborating partner intervention, and clinical quality certification, Results/Anticipated Results: Results include identification of referrals process by which CHWs are able to provide culturally competent support to persons accessing healthcare services at the 3 clinic models identified. Identification of top SDOH needs that preclude access to care among the patients served during a 24-month pilot period, e.g., (i) housing insecurity, (ii) food insecurity, (iii) transportation, (iv) health Ins, and (v) pharmacy access and payment assistance. Discussion of beneficial impacts for health care service delivery with other members of the multidisciplinary clinical teams as recorded referrals can be used to guide planning, clinic certification efforts Discussion/Significance of Impact: Patient utilization of CHW services though self-selective offers opportunities for equity in access to care services from direct SDOH impacts, where CHWs act as responsive resource coordinators within the multi-disciplinary service delivery team. |
| format | Article |
| id | doaj-art-26f898045f074f75a2b9de797d826eab |
| institution | DOAJ |
| issn | 2059-8661 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Clinical and Translational Science |
| spelling | doaj-art-26f898045f074f75a2b9de797d826eab2025-08-20T02:40:52ZengCambridge University PressJournal of Clinical and Translational Science2059-86612025-04-01910210210.1017/cts.2024.961330 Community Health Worker integration as a culturally competent component of patient-centered wellnessAntonette Francis-Shearer0Amber Singleton1Karla McCants2Danette M3 Jolly4Maggie Cheyenne5 Garland6Katherine Bolanos7Clinic Luke8 Mueller9Martha I10 Arrieta11Frederick Whiddon12Ashley Williams13USA Health Center for Healthy CommunitiesUSA Health Center for Healthy CommunitiesUniversity of South AlabamaUSA Health Center for Healthy CommunitiesUSA Health Center for Healthy CommunitiesUSA Health Center for Healthy CommunitiesUSA Health Center for Healthy CommunitiesUSA Health Stanton RoadUSA Health Center for Healthy CommunitiesUSA Health Stanton RoadUSA Health Center for Healthy CommunitiesUniversity of South AlabamaSchool of MedicineUSA Health Center for Healthy CommunitiesObjectives/Goals: 1) Discuss process of pilot integration of Community Health Worker (CHW) services as a component of patient-centered healthcare service delivery in 3 clinic models. 2) Summarize profiles of patients who self-select to utilize CHW services. 3) Discuss social determinants of health impacts of underserved and historically marginalized populations. Methods/Study Population: The priority population consists of individuals living in Mobile AL at or below poverty level. USA Health Center for Healthy Communities (CHC) piloted the integration of CHW services at USA Health Stanton Road Clinic (SRC), at USA Student Run Free Clinic (SRFC), and as part of a Medi Hub Outreach Clinic with the historically underserved MOWA Choctaw native American population. SRC is a high-utilization clinic for uninsured or underinsured patients across the breadth of the Gulf Coast. The other 2 sites serve similar clientele. Social determinants of health (SDOH) screenings at intake facilitate CHW referral for a clients’ unique needs for support at healthcare or social care agencies. Referral summaries can then be used to guide planning, community collaborating partner intervention, and clinical quality certification, Results/Anticipated Results: Results include identification of referrals process by which CHWs are able to provide culturally competent support to persons accessing healthcare services at the 3 clinic models identified. Identification of top SDOH needs that preclude access to care among the patients served during a 24-month pilot period, e.g., (i) housing insecurity, (ii) food insecurity, (iii) transportation, (iv) health Ins, and (v) pharmacy access and payment assistance. Discussion of beneficial impacts for health care service delivery with other members of the multidisciplinary clinical teams as recorded referrals can be used to guide planning, clinic certification efforts Discussion/Significance of Impact: Patient utilization of CHW services though self-selective offers opportunities for equity in access to care services from direct SDOH impacts, where CHWs act as responsive resource coordinators within the multi-disciplinary service delivery team.https://www.cambridge.org/core/product/identifier/S2059866124009610/type/journal_article |
| spellingShingle | Antonette Francis-Shearer Amber Singleton Karla McCants Danette M Jolly Maggie Cheyenne Garland Katherine Bolanos Clinic Luke Mueller Martha I Arrieta Frederick Whiddon Ashley Williams 330 Community Health Worker integration as a culturally competent component of patient-centered wellness Journal of Clinical and Translational Science |
| title | 330 Community Health Worker integration as a culturally competent component of patient-centered wellness |
| title_full | 330 Community Health Worker integration as a culturally competent component of patient-centered wellness |
| title_fullStr | 330 Community Health Worker integration as a culturally competent component of patient-centered wellness |
| title_full_unstemmed | 330 Community Health Worker integration as a culturally competent component of patient-centered wellness |
| title_short | 330 Community Health Worker integration as a culturally competent component of patient-centered wellness |
| title_sort | 330 community health worker integration as a culturally competent component of patient centered wellness |
| url | https://www.cambridge.org/core/product/identifier/S2059866124009610/type/journal_article |
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