Community health workers can be a public health force for change in the United States: three actions for a new paradigm.

Community health workers (CHWs) have gained increased visibility in the United States. We discuss how to strengthen the roles of CHWs to enable them to become collaborative leaders in dramatically changing health care from "sickness care" systems to systems that provide comprehensive care for individuals and families and supports community and tribal wellness. We recommend drawing on the full spectrum of CHWs' roles so that they can make optimal contributions to health systems and the building of community capacity for health and wellness. We also urge that CHWs be integrated into "community health teams" as part of "medical homes" and that evaluation frameworks be improved to better measure community wellness and systems change.

[1]  C. Garcia,et al.  Professionalization and the Experience-Based Expert: Strengthening Partnerships Between Health Educators and Community Health Workers , 2011, Health promotion practice.

[2]  E. Rosenthal,et al.  Community health workers: part of the solution. , 2010, Health affairs.

[3]  H. D. de Heer,et al.  A Promotores de Salud Intervention to Reduce Cardiovascular Disease Risk in a High-Risk Hispanic Border Population, 2005-2008 , 2010, Preventing chronic disease.

[4]  M. Stockwell,et al.  Effective strategies for integrating immunization promotion into community programs. , 2009, Health promotion practice.

[5]  J. Brownstein.  Charting the Course for Community Health Worker Research , 2008, Progress in community health partnerships : research, education, and action.

[6]  H. D. de Heer,et al.  Focus on the Future: A Community Health Worker Research Agenda by and for the Field , 2008, Progress in community health partnerships : research, education, and action.

[7]  Mandy K. Green,et al.  Findings from a Community-based Participatory Prevention Research Intervention Designed to Increase Social Capital in Latino and African American Communities , 2008, Journal of Immigrant and Minority Health.

[8]  M. Gibbons,et al.  Systematic Review of U.S.-Based Randomized Controlled Trials Using Community Health Workers , 2007 .

[9]  M. Gibbons,et al.  Systematic Review of U.S.-Based Randomized Controlled Trials Using Community Health Workers , 2007, Progress in community health partnerships : research, education, and action.

[10]  Susan L Norris,et al.  Effectiveness of community health workers in the care of people with hypertension. , 2007, American journal of preventive medicine.

[11]  E. O'neil,et al.  Advancing Community Health Worker Practice and Utilization: The Focus on Financing , 2006 .

[12]  T. Horsley,et al.  Effectiveness of community health workers in the care of persons with diabetes , 2006, Diabetic medicine : a journal of the British Diabetic Association.

[13]  D. Labarthe,et al.  Prevention and control of coronary heart disease and stroke--nomenclature for prevention approaches in public health: a statement for public health practice from the Centers for Disease Control and Prevention. , 2005, American journal of preventive medicine.

[14]  H. Balcázar,et al.  Evaluation of Salud Para Su Corazón (Health for Your Heart) — National Council of La Raza Promotora Outreach Program , 2005, Preventing chronic disease.

[15]  Adrienne Y. Stith,et al.  Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care , 2005 .

[16]  D. Himmelstein,et al.  Costs of health care administration in the United States and Canada. , 2003, The New England journal of medicine.

[17]  C. Burd,et al.  The “In-Between People”: Participation of Community Health Representatives in Diabetes Prevention and Care in American Indian and Alaska Native Communities , 2002 .

[18]  Eric B. Bass,et al.  Progress in Community Health Partnerships: Research, Education, and Action , 2011 .

[19]  L. Moreno,et al.  Strategies to Ensure HITECH Supports the Patient-Centered Medical Home. Rockville, MD: Agency for Healthcare Research and Quality , 2011 .

[20]  D. Bush.  OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Mandatory Guidelines for Federal Workplace Drug Testing Programs , 2022 .