Understanding the Success of Promotoras in Increasing Chronic Diseases Screening

Reinschmidt, Kerstin M.; Hunter, J.; Fernandez, Maria L.; Lacy-Martinez, Charles R.; Zapien, Jill Guernsey de; Meister, Joel S.

doi:10.1353/hpu.2006.0066

Cited by 96 publications

(87 citation statements)

References 24 publications

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“…This also constitutes a base for linking communities, individuals, and health centers. 46 As noted in the description of the program in Anhui, China above, one important contribution of peer leaders is the way they can serve as "the bridge to link [the clinic] with patients in their served neighborhood." 35 …”

Section: Connection To Communitymentioning

confidence: 99%

Contributions of Peer Support to Health, Health Care, and Prevention: Papers from Peers for Progress

Fisher

Ayala

Ibarra

et al. 2015

The Annals of Family Medicine

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SUBSTANTIAL evidence documents the benefits of peer support provided by community health workers, lay health advisors, promotores de salud, and others. The papers in this supplement, all supported by the Peers for Progress program of the American Academy of Family Physicians Foundation, contribute to the growing body of literature addressing the efficacy, effectiveness, feasibility, reach, sustainability, and adoption of peer support for diabetes self-management. They and additional papers supported by Peers for Progress contribute to understanding how peer support can be implemented in real world settings. Topics include examination of the peers who provide peer support, reaching the hardly reached, success factors in peer support interventions, proactive approaches, attention to emotions, peer support in behavioral health, dissemination models and their application in China, peer support in the patient-centered medical home, research challenges, and policy implications.

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Section: Connection To Communitymentioning

confidence: 99%

Contributions of Peer Support to Health, Health Care, and Prevention: Papers from Peers for Progress

Fisher

Ayala

Ibarra

et al. 2015

The Annals of Family Medicine

View full text Add to dashboard Cite

show abstract

“…For example, aides recruited from the practice community may help greet patients, ascertain their needs, take vital signs, and lead patients to examination rooms. Especially in communities where patients come from a different culture than the medical staff, these aides may have a major role in creating expectations about care, influencing the kinds of concerns for which patients seek help, and supporting patients in carrying out treatment recommendations (Getrich et al 2007;Reinschmidt et al 2006). Training these staff to use a set of common factors skills may help them better carry out these functions.…”

Section: Common Factors and Practice Organizationmentioning

confidence: 99%

A Common Factors Approach to Improving the Mental Health Capacity of Pediatric Primary Care

Wissow

Anthony

Brown

et al. 2008

Adm Policy Ment Health

107

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To expand the mental health service capacity of pediatric primary care, we ask whether there are evidence-based skills to allow providers to 1) immediately begin treatment for children with emotional and behavioral problems while diagnostic procedures are being pursued, and 2) offer evidence-based care to children who do not meet criteria for a specific diagnosis. We discuss why the epidemiology of child mental health problems poses difficulties for disorder-specific mental health interventions, and review evidence that "common factors" contributing to the outcome of mental health treatments define a core set of skills that primary care providers might use to complement disorder-specific interventions.

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“…17 Many strategies incorporate self-management concepts and behavioral interventions; integrate care teams; use nonphysician personnel, such as nurses, community health workers, promotoras, and community health outreach workers; and provide services in homes, the community, or in primary care offi ces. [18][19][20][21][22][23] The Chronic Care Model, a CDM strategy incorporated into the American Academy of Family Physicians' new models of care, [24][25][26][27][28][29] emphasizes offi ce redesign and the use of nonphysician staff to accomplish disease management tasks. The Future of Family Medicine report predicted that implementation of the Chronic Care Model would have a positive impact on offi ce costs after making assumptions regarding time required and reimbursement for providing high-quality care.…”

Section: The Crisis In Primary Care and Chronic Disease Managementmentioning

confidence: 99%

The Missing Link: Improving Quality With a Chronic Disease Management Intervention for the Primary Care Office

Zweifler¹

2007

The Annals of Family Medicine

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Bold steps are necessary to improve quality of care for patients with chronic diseases and increase satisfaction of both primary care physicians and patients. Offi ce-based chronic disease management (CDM) workers can achieve these objectives by offering self-management support, maintaining disease registries, and monitoring compliance from the point of care. CDM workers can provide the missing link by connecting patients, primary care physicans, and CDM services sponsored by health plans or in the community. CDM workers should be supported fi nancially by Medicare, Medicaid, and commercial health plans through reimbursements to physicians for units of service, analogous to California's Comprehensive Perinatal Services Program. Care provided by CDM workers should be standardized, and training requirements should be suffi ciently fl exible to ensure wide dissemination. CDM workers can potentially improve quality while reducing costs for preventable hospitalizations and emergency department visits, but evaluation at multiple levels is recommended. INTRODUCTIONA crisis in primary care and chronic disease management (CDM) is looming. We need a CDM strategy that improves quality, supports primary care physicians and patients, and is applicable in a diverse range of clinical settings. It is possible to achieve these multiple objectives by allocating dedicated health care assistants to work directly with patients who have chronic diseases at the point of care. Offi ce-based CDM workers can offer self-management and case management services for these patients and be the missing link that connects patients, families, and physicians with CDM services available through health plans or in the community. A practical way to pay for and target CDM activities is to reimburse physicians for units of service delivered by their CDM workers. California's well-established Comprehensive Perinatal Services Program (CPSP) is a good example of a payment mechanism that supports health education and case menagement services through payments to physician employers.Offi ce-based CDM workers can potentially improve quality, enhance primary care physician satisfaction and productivity, promote self-management strategies, and reduce or control long-term costs related to poor patient outcomes, but their actual impact should be assessed at multiple levels. Wide dissemination of point-of-care CDM workers is practical and achievable, and it should occur before the primary care infrastructure so vital to our good health crumbles. John Zweifl er, MD, MPH THE CRISIS IN PRIMARY CARE AND CHRONIC DISEASE MANAGEMENTPrimary care is in a crisis, and that it may not survive 1,2 is particularly troubling, because primary care physicians supply the bulk of care to an increasing number of aging Americans with chronic diseases.3 Managing the daunting needs of patients with multiple comorbid chronic conditions is perhaps the greatest challenge confronting primary care physicians.4-8 Meanwhile, physician payments tied to clinical and patient satisfactio...

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Understanding the Success of Promotoras in Increasing Chronic Diseases Screening

Cited by 96 publications

References 24 publications

Contributions of Peer Support to Health, Health Care, and Prevention: Papers from Peers for Progress

Contributions of Peer Support to Health, Health Care, and Prevention: Papers from Peers for Progress

A Common Factors Approach to Improving the Mental Health Capacity of Pediatric Primary Care

The Missing Link: Improving Quality With a Chronic Disease Management Intervention for the Primary Care Office

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