Table 4 Factors assessed to evaluate integration of CHWs within clinical care teams
Health System Factors | Respondents reported working as part of care team Mechanisms for CHWs and care team members to communicate CHWs participated in regular meetings with care team CHWs had access to EMRs or other medical record systems CHW working in close proximity to care team members (share physical workspace) A champion or leader within the team supports CHWs integration A flattened hierarchy enables CHWs to engage in aspects of care Health care providers received training or mentorship in working with CHWs Protocols or procedures involve CHWs in health service delivery |
Community Factors | Respondents reported integration with the communities served CHWs have shared experiences with patients or intimate knowledge of communities served CHWs work with patients where they live in homes or community settings close to patients CHWs have time to build relationships/rapport with patients CHWs are perceived as trusted members of the community Health services are delivered in a way that is easily accessed by patients Strong partnerships with other community organizations are maintained |