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Promotores de salud and community health workers: An annotated bibliography

机译：促进者和社区卫生工作者：带注释的书目

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摘要

For underserved and disenfranchised communities in the United States, affordable, effective health care can be nearly inaccessible, which often leads to the exclusion of these communities from relevant medical information and care. Barriers to care are especially salient in minority communities, where language, traditions and customs, socioeconomics, and access to education can serve as additional roadblocks to accessing health care information and services. These factors have contributed to a national health disparity crisis that unnecessarily places some communities in a vulnerable position without adequate prevention and treatment opportunities. One solution to the exclusion some communities face in the health care system may be the promotores de salud (PdS)/community health worker (CHW), an approach to culturally competent health care delivery whose popularity in the mainstream health care system has been steadily growing in recent decades. Known by a wide variety of names and broad in the spectrum of health issues they address, the PdS/CHW serves as cultural brokers between their own community and the formal health care system and can play a crucial role in promoting health and wellness within their community. This annotated bibliography was created to educate the reader about the history, definition, key features, utility, outcomes, and broad potential of the CHW approach in a variety of populations. Intended to serve as a reference point to a vast body of information on the CHW/PdS approach, this document is a resource for those wishing to effect change in the disparities within the health care system, and to improve the access to, quality, and cost of health care for underserved patients and their communities. Promotores de Salud is a Spanish term that translates to Health Promoter. A female health worker may be referred to as a Promotora, a male as a Promotor, and the plural of both is Promotores. For the purposes of this bibliography, the terms community health worker and promotores de salud may be used interchangeably.
机译：对于美国服务不足和被剥夺权利的社区，几乎无法获得负担得起的有效医疗保健，这通常导致这些社区无法获得相关的医疗信息和护理。在少数族裔社区中，医疗服务的障碍尤为突出，那里的语言，传统和习俗，社会经济学以及受教育的机会可能成为获取医疗保健信息和服务的其他障碍。这些因素导致了全国卫生差距危机，不必要地使一些社区处于脆弱地位，而没有足够的预防和治疗机会。解决某些社区在医疗保健系统中面临的问题的一种解决方案可能是“促进者”（PdS）/社区医疗工作者（CHW），这是一种具有文化背景的医疗保健提供方式，在主流医疗保健系统中的受欢迎程度一直在稳步增长近几十年来。 PdS / CHW以其各种各样的名称而闻名，涉及的健康问题广泛，是其社区与正式医疗系统之间的文化中介，并在促进社区内的健康与福祉方面发挥着至关重要的作用。创建该带注释的参考书目是为了教育读者有关CHW方法在各种人群中的历史，定义，关键特征，效用，结果以及广泛的潜力。本文档旨在作为有关CHW / PdS方法的大量信息的参考点，对于希望实现卫生保健系统内差异变化并改善获取，质量和服务的人们来说，本文档是一份资源。服务不足的患者及其社区的医疗保健成本。 Promotores de Salud是西班牙语术语，翻译为“健康促进者”。女性卫生工作者可以被称为Promotora，男性可以被称为Promotores，两者的复数是Promotores。出于本参考书目的目的，社区卫生工作者和德产工人促进者可以互换使用。

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