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Community Health Representative Workforce

Integration across systems and teams to address the social determinants of indigenous health and wellbeing

Bibliographic Data

ID22071252
AuthorsSamantha Sabo (0000-0003-4509-9182, Northern Arizona University, corresponding author), Louisa O'Meara (Northern Arizona University), Janet Yellowhair (Northern Arizona University), Joyce Hamilton, J T Nashio, J T Neva Nashio, Brook Bender, Fernando Flores (0000-0003-3426-6221, Colorado River Indian Tribes Library), Marianne Bennett (Gila River Indian Community), Rema Metts (Gila River Healthcare), Isabella Denton (Indian Health Council), Kim Russell (0000-0002-2443-5338, Indian Health Council)
Year2023
Volume11
Pages1047152-1047152
Publication date2023-03-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1047152
PMID37033042
OpenAlexW4324377476
LanguageEN
References cited17

Tribally employed, Community Health Representatives (CHRs) serving Indigenous and American Indian and Alaskan Native (AIAN) peoples are culturally and linguistically embedded community leaders, with the unique ability to serve as the link and intermediary between community members and systems. Unique to the CHR workforce scope of practice is the expectation for high level integration within the medical and social service care team. This explicit role outlined in the scope of work sets an expectation for both CHR and care teams to deliver integrated patient, family, and systems level care coordination and case management. This paper aims to build from our previous manuscript published in Volume 1 of the special issue Community Health Workers Practice from Recruitment to Integration . In that Volume, we explored through a Community Case Study CHR Managers' perspectives on the challenges and opportunities for full CHR integration into health systems and teams serving AIAN. In this paper, we offer new information about the current CHR and CHR Managers' involvements and perceived level of integration within health care teams and the broader public health systems addressing the social and structural determinants of health. We approach this topic considering the COVID-19 pandemic and how CHRs and CHR Programs were included and not included in tribal pandemic response efforts

Community health · Health care · Health equity · Indigenous · Political science · Public health · Public relations · Social determinants of health · Workforce · Computer Science · Food Security and Health in Diverse Populations · Global Health Workforce Issues · Medicine · Nursing · Primary Care and Health Outcomes · Social Work

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Citation velocityhistorical
Highly citedNo

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