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Community health worker interventions to improve access to health care services for older adults from ethnic minorities: a systematic review

Overview of attention for article published in BMC Health Services Research, November 2014
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Title
Community health worker interventions to improve access to health care services for older adults from ethnic minorities: a systematic review
Published in
BMC Health Services Research, November 2014
DOI 10.1186/s12913-014-0497-1
Pubmed ID
Authors

Ilona Verhagen, Bas Steunenberg, Niek J de Wit, Wynand JG Ros

Abstract

BackgroundThe health status of older adults belonging to ethnic minorities in Western countries is an important public issue because their health is often less favourable than that of older adults from the majority population. In addition, the number of older adults belonging to ethnic minorities is increasing rapidly in Western countries. The introduction of community health workers (CHWs) has proven to be successful in addressing health disparities among ethnic minorities; however, an overview of CHW¿s benefits for older adults is absent in the literature. We reviewed the literature to explore whether CHWs are also effective in improving the health and the delivery of health care services to ethnic minority older adults in Western countries.MethodsWe searched the PubMed database (2002-Present) for RCTs published on the use of CHWs in Western countries.ResultsOut of the 729 studies identified, seven studies met our inclusion criteria. The effectiveness of the implementation of CHW programmes in older adults belonging to ethnic minorities is not univocal. In two studies, we found no significant differences. In five studies, we found some positive effects. We did not find negative effects in any of the studies. For better interpretation of the results, effect ratios (ERs) were calculated as the number of positive findings divided by the total number of measured findings. Substantial effects on the access to care (mean ER¿=¿0.58) and on health behaviour (mean ER¿=¿0.45) were found. The mean ER for health outcomes was considerably lower (mean ER¿=¿0.17).ConclusionWe found indications that CHWs serve as a means of improving health care use and health behaviour and, to a lesser extent, health outcomes among ethnic minority older adults. Further research is required to draw more solid conclusions on the effectiveness of CHW interventions in this target group. This is particularly important for Western countries in which the number of ethnic minority older adults has increased significantly because their health status is mostly unfavourable and their access to health care services is often limited.

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Mendeley readers

The data shown below were compiled from readership statistics for 81 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 2%
Brazil 1 1%
Unknown 78 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 16 20%
Student > Master 11 14%
Student > Ph. D. Student 8 10%
Other 7 9%
Student > Doctoral Student 7 9%
Other 17 21%
Unknown 15 19%
Readers by discipline Count As %
Medicine and Dentistry 18 22%
Social Sciences 14 17%
Nursing and Health Professions 13 16%
Agricultural and Biological Sciences 4 5%
Environmental Science 3 4%
Other 6 7%
Unknown 23 28%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 August 2015.
All research outputs
#3,830,495
of 5,442,199 outputs
Outputs from BMC Health Services Research
#1,938
of 2,386 outputs
Outputs of similar age
#126,952
of 187,551 outputs
Outputs of similar age from BMC Health Services Research
#58
of 82 outputs
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