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[PMID]:28459925
[Au] Autor:Carrasquillo O; Lebron C; Alonzo Y; Li H; Chang A; Kenya S
[Ad] Endereço:Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida2Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida.
[Ti] Título:Effect of a Community Health Worker Intervention Among Latinos With Poorly Controlled Type 2 Diabetes: The Miami Healthy Heart Initiative Randomized Clinical Trial.
[So] Source:JAMA Intern Med;177(7):948-954, 2017 Jul 01.
[Is] ISSN:2168-6114
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Community health worker (CHW) intervention is a promising approach to address type 2 diabetes among Latinos. However, evidence from randomized clinical studies is limited. Objective: To compare a CHW intervention with enhanced usual care. Design, Setting, and Participants: This 52-week, single-blind, randomized clinical trial included 300 Latino adults aged 18 to 65 years who were treated in 2 public hospital outpatient clinics in Miami-Dade County, Florida, from July 1, 2010, through October 31, 2013. Eligible participants had a hemoglobin A1c (HbA1c) level of 8.0 or greater. Follow-up was completed January 31, 2015, and data were analyzed from March 10, 2015, to June 6, 2016. Interventions: A 1-year CHW intervention consisted of home visits, telephone calls, and group-level activities. Main Outcomes and Measures: Primary outcomes included systolic blood pressure (SBP), low-density lipoprotein cholesterol (LDLC) levels, and HbA1c levels. Secondary outcomes included body mass index, medication regimen intensification, and self-reported measures of diet, physical activity, and medication regimen adherence. Results: Of the 300 participants randomized (135 men [45%] and 165 women [55%]; mean [SD] age, 55.2 [7.0] years), we obtained follow-up data on 215 (71.7%). Participants in the CHW group received a median of 4 home visits and 20 telephone calls. After adjusting for baseline values and covariates, participants in the CHW group had an HbA1c level that was 0.51% lower (95% CI, -0.94% to -0.08%) than that of participants in the enhanced usual care group. The reduction in SBP of 4.62 mm Hg (95% CI, -9.01 to -0.24 mm Hg) did not meet the preplanned target of 8 mm Hg and was not statistically significant in unadjusted models. No significant differences in LDLC levels (mean difference, -8.2 mg/dL; 95% CI, -18.8 to 2.3 mg/dL) or any of the preplanned secondary outcomes were observed. Post hoc analyses suggest that the intervention may be more beneficial among those with worse control of their type 2 diabetes at baseline. Conclusions and Relevance: Among Latinos with poorly controlled type 2 diabetes, a 12-month CHW intervention lowered HbA1c levels by 0.51%. The intervention did not lead to improvements in LDLC levels, and the findings with respect to SBP were variable and half of what was targeted. Future studies should examine whether CHW interventions affect other measures, such as access to health care or social determinants of health. Trial Registration: clinicaltrials.gov Identifier: NCT01152957.
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária
Agentes Comunitários de Saúde
Diabetes Mellitus Tipo 2
Cooperação do Paciente/etnologia
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Glicemia/análise
Serviços de Saúde Comunitária/métodos
Serviços de Saúde Comunitária/organização & administração
Agentes Comunitários de Saúde/organização & administração
Agentes Comunitários de Saúde/psicologia
Diabetes Mellitus Tipo 2/diagnóstico
Diabetes Mellitus Tipo 2/etnologia
Diabetes Mellitus Tipo 2/psicologia
Diabetes Mellitus Tipo 2/terapia
Comportamento Alimentar/etnologia
Comportamento Alimentar/fisiologia
Feminino
Florida/epidemiologia
Hemoglobina A Glicada/análise
Hispano-Americanos/estatística & dados numéricos
Seres Humanos
Masculino
Meia-Idade
Avaliação de Processos e Resultados (Cuidados de Saúde)
Autocuidado/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Blood Glucose); 0 (Glycated Hemoglobin A)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170502
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1001/jamainternmed.2017.0926


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[PMID]:29241617
[Au] Autor:Neupane D; McLachlan CS; Mishra SR; Olsen MH; Perry HB; Karki A; Kallestrup P
[Ad] Endereço:Center for Global Health, Department of Public Health, Aarhus University, Aarhus, Denmark. Electronic address: dinesh.neupane@dukekunshan.edu.cn.
[Ti] Título:Effectiveness of a lifestyle intervention led by female community health volunteers versus usual care in blood pressure reduction (COBIN): an open-label, cluster-randomised trial.
[So] Source:Lancet Glob Health;6(1):e66-e73, 2018 Jan.
[Is] ISSN:2214-109X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Elevated blood pressure greatly contributes to cardiovascular deaths in low-income and middle-income countries. We aimed to investigate the effectiveness of a population-level intervention led by existing community health workers in reducing the burden of hypertension in a low-income population. METHODS: We did a community-based, open-label, two-group, cluster-randomised controlled trial in Nepal. Using computer-generated codes, we randomly assigned (1:1) 14 clusters to a lifestyle intervention led by female community health volunteers (FCHVs) or usual care (control group). In the intervention group, 43 FCHVs provided home visits every 4 months for lifestyle counselling and blood pressure monitoring. Eligible participants had been involved in a previous population-based survey, were aged 25-65 years, did not have plans to migrate outside the study area, and were not severely ill or pregnant. The primary outcome was mean systolic blood pressure at 1 year. We included all participants who remained in the trial at 1 year in the primary analysis. This trial is registered with ClinicalTrials.gov, number NCT02428075. FINDINGS: Between April 1, 2015, and Dec 31, 2015, we recruited 1638 participants (939 assigned to intervention; 699 assigned to control). At 1 year, 855 participants remained in the intervention group (425 were normotensive, 175 were prehypertensive, and 255 had hypertension) and 613 remained in the control group (305 were normotensive, 128 were prehypertensive, and 180 had hypertension). The mean systolic blood pressure at 1 year was significantly lower in the intervention group than in the control group for all cohorts: the difference was -2·28 mm Hg (95% CI -3·77 to -0·79, p=0·003) for participants who were normotensive, -3·08 mm Hg (-5·58 to -0·59, p=0·015) for participants who were prehypertensive, and -4·90 mm Hg (-7·78 to -2·00, p=0·001) for participants who were hypertensive. INTERPRETATION: A simple, FCHV-led lifestyle intervention coupled with monitoring of blood pressure is effective for reduction of blood pressure in individuals with hypertension and ameliorates age-related increases in blood pressure in adults without hypertension in the general population of Nepal. FUNDING: Aarhus University, Jayanti Memorial Trust.
[Mh] Termos MeSH primário: Agentes Comunitários de Saúde/estatística & dados numéricos
Promoção da Saúde/organização & administração
Estilo de Vida Saudável
Hipertensão/prevenção & controle
Voluntários/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Análise por Conglomerados
Feminino
Seres Humanos
Masculino
Meia-Idade
Nepal
Pobreza
Avaliação de Programas e Projetos de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171216
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:28464869
[Au] Autor:Lopes FRL; Monteiro KS; Figueiredo T; Wanderley TDC; Pequeno TA; Lima S; Santos S
[Ad] Endereço:Centre for Public Health Research, Paraiba State University (UEPB), Campina Grande, Brazil.
[Ti] Título:Reliability of information on people with disabilities gathered by community health workers in highly consanguineous communities of Northeastern Brazil.
[So] Source:BMC Health Serv Res;17(1):317, 2017 05 02.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In Brazil, community health workers have gathered monthly information on people with disabilities to maintain the Primary Care Information System since 1998; however, few studies have used this database for scientific or public health policy purposes. OBJECTIVES: This study aimed to evaluate the reliability of information on people with disabilities gathered by community health workers in primary care services. METHOD: This was a cross-sectional population-based study conducted in two highly consanguineous communities, involving a population of 18,458 inhabitants in Northeastern Brazil. To study the prevalence of people with disabilities, estimations performed by health workers were compared with those obtained by researchers who interviewed 15.6% of the total population. To study the agreement of the information, data on 106 people with disabilities completed independently by researchers and health workers were compared to evaluate the degree of agreement for 28 variables analysed. Kappa statistics (κ) were used to calculate the inter-rater agreement. RESULTS: The prevalence of disability estimated by community health workers was 3.01 and 2.00% for city A and B, respectively, while the percentages obtained by researchers were 6.72 and 5.65%, respectively, showing an underestimation of prevalence according to community health workers. The Kappa index value obtained for all data analysed (2,589 items excluding losses) was 0.808 (p < 0.01), indicating an almost perfect consistency of information collected by health workers compared to by researchers. CONCLUSION: Community health workers collected information with a high degree of reliability, although the identification of the prevalence of disabled individuals was potentially impaired due to the work process.
[Mh] Termos MeSH primário: Agentes Comunitários de Saúde
Pessoas com Deficiência/estatística & dados numéricos
[Mh] Termos MeSH secundário: Brasil/epidemiologia
Consanguinidade
Estudos Transversais
Feminino
Transtornos da Audição/epidemiologia
Seres Humanos
Deficiência Intelectual/epidemiologia
Masculino
Prevalência
Reprodutibilidade dos Testes
Transtornos da Visão/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2267-3


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[PMID]:29236540
[Au] Autor:Browne T; Keefe RH; Ruth BJ; Cox H; Maramaldi P; Rishel C; Rountree M; Zlotnik J; Marshall J
[Ad] Endereço:Teri Browne is with the University of South Carolina College of Social Work, Columbia. Robert H. Keefe is with the University at Buffalo School of Social Work, State University of New York. Betty J. Ruth is with the Boston University School of Social Work, Boston, MA. Harold Cox is with the Boston U
[Ti] Título:Advancing Social Work Education for Health Impact.
[So] Source:Am J Public Health;107(S3):S229-S235, 2017 Dec.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Social work education plays a critical role in preparing social workers to lead efforts that improve health. Because of the dynamic health care landscape, schools of social work must educate students to facilitate health care system improvements, enhance population health, and reduce medical costs. We reviewed the existing contributions of social work education and provided recommendations for improving the education of social workers in 6 key areas: aging, behavioral health, community health, global health, health reform, and health policy. We argue for systemic improvement in the curriculum at every level of education, including substantive increases in content in health, health care, health care ethics, and evaluating practice outcomes in health settings. Schools of social work can further increase the impact of the profession by enhancing the curricular focus on broad content areas such as prevention, health equity, population and community health, and health advocacy.
[Mh] Termos MeSH primário: Agentes Comunitários de Saúde/educação
Competência Profissional/normas
Serviço Social/educação
[Mh] Termos MeSH secundário: Currículo/normas
Feminino
Reforma dos Serviços de Saúde
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.304054


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[PMID]:29236539
[Au] Autor:Wilkinson GW; Sager A; Selig S; Antonelli R; Morton S; Hirsch G; Lee CR; Ortiz A; Fox D; Lupi MV; Acuff C; Wachman M
[Ad] Endereço:Geoffrey W. Wilkinson is with the Boston University School of Social Work, Boston, MA. Alan Sager is with the Boston University School of Public Health. Sara Selig is with Brigham & Women's Hospital/Harvard Medical School, Boston. Richard Antonelli is with Boston Children's Hospital/Harvard Medi
[Ti] Título:No Equity, No Triple Aim: Strategic Proposals to Advance Health Equity in a Volatile Policy Environment.
[So] Source:Am J Public Health;107(S3):S223-S228, 2017 Dec.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Health professionals, including social workers, community health workers, public health workers, and licensed health care providers, share common interests and responsibilities in promoting health equity and improving social determinants of health-the conditions in which people live, work, play, and learn. We summarize the underlying causes of health inequity and comparatively poor health outcomes in the United States. We describe barriers to realizing the hope embedded in the 2010 Patient Protection and Affordable Care Act, that moving away from fee-for-service payments will naturally drive care upstream as providers respond to greater financial risk by undertaking greater prevention efforts for the health of their patients. We assert that health equity should serve as the guiding framework for achieving the Triple Aim of health care reform and outline practical opportunities for improving care and promoting stronger efforts to address social determinants of health. These proposals include developing a dashboard of measures to assist providers committed to health equity and community-based prevention and to promote institutional accountability for addressing socioeconomic factors that influence health.
[Mh] Termos MeSH primário: Política Ambiental
Reforma dos Serviços de Saúde/organização & administração
Equidade em Saúde/organização & administração
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Agentes Comunitários de Saúde
Feminino
Política de Saúde
Seres Humanos
Masculino
Patient Protection and Affordable Care Act
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.304000


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[PMID]:27776496
[Au] Autor:Hidalgo KD; Mielke GI; Parra DC; Lobelo F; Simões EJ; Gomes GO; Florindo AA; Bracco M; Moura L; Brownson RC; Pratt M; Ramos LR; Hallal PC
[Ad] Endereço:JFK Johnson Rehabilitation Institute, JFK Medical Center, Edison, NJ, USA. khidalgo27@gmail.com.
[Ti] Título:Health promoting practices and personal lifestyle behaviors of Brazilian health professionals.
[So] Source:BMC Public Health;16(1):1114, 2016 10 24.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study was conducted to examine the lifestyle behaviors and health promoting practices of physicians, nurses, and community health workers in Brazil. METHODS: A random sample of primary health care units in Brazil was selected, and a pretested questionnaire was administered via phone interviews, in 2011, to 182 physicians, 347 nurses, and 269 community health workers, totaling 798 health professionals. The total initial sample included 1600 eligible health professionals. Variables measured included physical activity, alcohol intake, hours of sleep, diet, and perceived self-efficacy to provide preventive counseling on related lifestyle behaviors. RESULTS: More than 25 % of physicians, nurses, and community health workers reported eating 0-2 portions of fruits and vegetables per day. In terms of cervical and breast cancer, nurses reported to be 'very prepared' to advise patients on these topics more frequently than physicians. The prevalence of smoking ranged from 4.9 % among nurses to 7.4 % among community health workers. The proportion of physical inactivity ranged from 40.3 % among nurses to 52.1 % among community health workers. CONCLUSION: A reasonably high proportion of physicians, nurses, and community health workers report not engaging in healthy lifestyle behaviors that impact chronic diseases, thus, they may be less likely to encourage such behaviors in their patients.
[Mh] Termos MeSH primário: Agentes Comunitários de Saúde
Aconselhamento
Comportamentos Relacionados com a Saúde
Promoção da Saúde
Estilo de Vida
Enfermeiras e Enfermeiros
Médicos
[Mh] Termos MeSH secundário: Adulto
Brasil
Dieta
Exercício
Feminino
Seres Humanos
Masculino
Meia-Idade
Prevalência
Atenção Primária à Saúde
Estilo de Vida Sedentário
Autoeficácia
Fumar
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:29216263
[Au] Autor:Hill J; Peer N; Oldenburg B; Kengne AP
[Ad] Endereço:Non-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa.
[Ti] Título:Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review.
[So] Source:PLoS One;12(12):e0189069, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: To examine the characteristics of community health workers (CHWs) involved in diabetes prevention programmes (DPPs) and their contributions to expected outcomes. METHODS: Electronic databases including PubMed-MEDLINE, EBSCOHost, and SCOPUS/EMBASE were searched for studies published between January 2000 and March 2016. All studies that used CHWs to implement DPP in ≥18-year-old participants without diabetes but at high risk for developing the condition, irrespective of the study design, setting or outcomes measured, were included. Results were synthesized narratively. RESULTS: Forty papers of 30 studies were identified. Studies were mainly community-based and conducted in minority populations in USA. Sample sizes ranged from 20 participants in a single community to 2369 participants in 46 communities. Although CHWs were generally from the local community, their qualifications, work experience and training received differed across studies. Overall the training was culturally sensitive and/or appropriate, covering topics such as the importance of good nutrition and the benefits of increased physical activity, communication and leadership. CHWs delivered a variety of interventions and also screened or recruited participants. The shared culture and language between CHWs and participants likely contributed to better programme implementation and successful outcomes. CONCLUSIONS: The complexity of DPPs and the diverse CHW roles preclude attributing specific outcomes to CHW involvement. Nevertheless, documenting potential CHW roles and the relevant training required may optimise CHW contributions and facilitate their involvement in DPPs in the future.
[Mh] Termos MeSH primário: Agentes Comunitários de Saúde
Diabetes Mellitus/prevenção & controle
Papel Profissional
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189069


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[PMID]:27777181
[Au] Autor:Bryant-Stephens T; Reed-Wells S; Canales M; Perez L; Rogers M; Localio AR; Apter AJ
[Ad] Endereço:Children's Hospital of Philadelphia, Philadelphia, Pa; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa. Electronic address: stephenst@email.chop.edu.
[Ti] Título:Home visits are needed to address asthma health disparities in adults.
[So] Source:J Allergy Clin Immunol;138(6):1526-1530, 2016 Dec.
[Is] ISSN:1097-6825
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Research on asthma frequently recruits patients from clinics because the ready pool of patients leads to easy access to patients in office waiting areas, emergency departments, or hospital wards. Patients with other chronic conditions, and with mobility problems, face exposures at home that are not easily identified at the clinic. In this article, we describe the perspective of the community health workers and the challenges they encountered when making home visits while implementing a research intervention in a cohort of low-income, minority patients. From their observations, poor housing, often the result of poverty and lack of social resources, is the real elephant in the chronic asthma room. To achieve a goal of reduced asthma morbidity and mortality will require a first-hand understanding of the real-world social and economic barriers to optimal asthma management and the solutions to those barriers.
[Mh] Termos MeSH primário: Asma/epidemiologia
Agentes Comunitários de Saúde
Visita Domiciliar
[Mh] Termos MeSH secundário: Adulto
Redes Comunitárias
Disparidades em Assistência à Saúde
Seres Humanos
Avaliação de Resultados da Assistência ao Paciente
Pobreza
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171223
[Lr] Data última revisão:
171223
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:29064365
[Au] Autor:Charles M; Richard M; Joseph P; Bury MR; Perrin G; Louis FJ; Fitter DL; Marston BJ; Deyde V; Boncy J; Morose W; Pape JW; Lowrance DW
[Ad] Endereço:Centers for Disease Control and Prevention, Port-au-Prince, Haiti.
[Ti] Título:Trends in Tuberculosis Case Notification and Treatment Success, Haiti, 2010-2015.
[So] Source:Am J Trop Med Hyg;97(4_Suppl):49-56, 2017 Oct.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Since the 2010 earthquake, tuberculosis (TB) control has been a major priority for health sector response and recovery efforts in Haiti. The goal of this study was to analyze trends in TB case notification in Haiti from the aggregate data reported by the National TB Control Program to understand the effects of such efforts. A total of 95,745 TB patients were registered for treatment in Haiti between 2010 and 2015. Three regions, the West, Artibonite, and North departments accounted for 68% of the TB cases notified during the period. Patients in the 15-34 age groups represented 53% (50,560) of all cases. Case notification rates of all forms of TB increased from 142.7/100,000 in 2010 to 153.4 in 2015, peaking at 163.4 cases/100,000 in 2013. Case notification for smear-positive pulmonary TB increased from 85.5 cases/100,000 to 105.7 cases/100,000, whereas treatment success rates remained stable at 79-80% during the period. Active TB case finding efforts in high-risk communities and the introduction of new diagnostics have contributed to increasing TB case notification trends in Haiti from 2010 to 2015. Targeted interventions and novel strategies are being implemented to reach high-risk populations and underserved communities.
[Mh] Termos MeSH primário: Antituberculosos/uso terapêutico
Notificação de Doenças
Tuberculose/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Agentes Comunitários de Saúde
Terapia Diretamente Observada
Feminino
Haiti
Instalações de Saúde
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Resultado do Tratamento
Tuberculose/tratamento farmacológico
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antitubercular Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171025
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.16-0863


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[PMID]:29048953
[Au] Autor:Sabo S; Allen CG; Sutkowi K; Wennerstrom A
[Ad] Endereço:Samantha Sabo is with the Department of Health Sciences, Center for Health Equity Research, Northern Arizona University, Flagstaff. Caitlin G. Allen is with the Behavioral Science and Health Education Department, Rollins School of Public Health, Emory University, Atlanta, GA. Katherine Sutkowi is wi
[Ti] Título:Community Health Workers in the United States: Challenges in Identifying, Surveying, and Supporting the Workforce.
[So] Source:Am J Public Health;107(12):1964-1969, 2017 Dec.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Community health workers (CHWs) are members of a growing profession in the United States. Studying this dynamic labor force is challenging, in part because its members have more than 100 different job titles. The demand for timely, accurate information about CHWs is increasing as the profession gains recognition for its ability to improve health outcomes and reduce costs. Although numerous surveys of CHWs have been conducted, the field lacks well-delineated methods for gaining access to this hard-to-identify workforce. We outline methods for surveying CHWs and promising approaches to engage the workforce and other stakeholders in conducting local, state, and national studies. We also highlight successful strategies to overcome challenges in CHW surveys and future directions for surveying the field.
[Mh] Termos MeSH primário: Agentes Comunitários de Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Seres Humanos
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171020
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.304096



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde