Effects of a Standardized Community Health Worker Intervention on Health Care Utilization Within an Integrated Delivery System
Aditi Vasan e outros, 2025 · Journal of General Internal Medicine
Tailored remote support from community health workers reduced inpatient hospital days by 172.3 days per 1000 members per month over six months.
Estimativa · adjusted hospital days per 1000 members per month
-172,3 [-320,1; -24,5]
days per 1000 members per month
p= 0.022
- Desenho
- Experimento aleatório. randomized controlled trial with adjusted difference-in-differences regression
- População
- Low-income adult patients with chronic morbidity empaneled at two primary care clinics in Portland, Oregon, 2020-2022
- Amostra
- 1.230 · patients
Onde está o número
RESULTS; Table 3, row '-Adjusted hospital days per 1000 members per month', Total population, 6 months
As compared to control patients, patients who received the IMPaCT intervention had a relative reduction in hospital days at 6-months post-enrollment (− 172.3 days per 1000 members per month, 95% CI − 320.05 to − 24.53, p= 0.022).
Contexto
What changed: Patients received 3 months of weekly remote coaching, advocacy, and navigation from community health workers tailored to health and social goals. Comparison: Usual primary and acute care. Limits: Implemented during the COVID-19 pandemic with baseline imbalance in prior utilization and demographics, though adjusted via diff-in-diff.
Caminho no grafo
- FamíliaInformação e persuasão
- TipoCapacitação e aconselhamento
- ResultadoInternações hospitalares
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- Portland, Oregon · Município · US
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23