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In an era of intense concern about the high costs of health care, the increased numbers of people who are obese or have chronic illnesses, and the many people who have either no health insurance or inadequate coverage, it seems only logical that lay community health workers (CHWs) can play an important role in health care. The concept of having lay people in the community serve as integral health care team members is not a new one. Interestingly, the role of lay CHWs can be traced to the 1940s in the People's Republic of China with the introduction of the "barefoot" doctors who were tasked with providing medical treatment and education to people who lived in rural areas. Similarly, in the 1980s, I met with lay CHWs in the urban ghetto in Bangkok, Thailand, who provided indispensable health services in collaboration with public health nurses to residents of their community.

机译：在一个时代，人们对医疗保健的高昂费用，肥胖或患有慢性病的人数增加以及许多没有医疗保险或覆盖范围不足的人表示高度关注，这似乎是合乎逻辑的（CHW）在医疗保健中可以发挥重要作用。在社区中让人们成为整体医疗团队成员的概念并不是一个新概念。有趣的是，外行CHW的作用可以追溯到中华人民共和国的1940年代，当时引入了“赤脚”医生，他们的任务是为农村地区的人们提供医疗和教育。同样，在1980年代，我在泰国曼谷市区的贫民区会见了普通卫生工作者，他们与公共保健护士合作为社区居民提供了必不可少的保健服务。

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《Family & community health》 |2012年第2期|共1页
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中图分类保健组织与事业（卫生事业管理）;
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