Evidence & Resource Library

The SIREN Evidence & Resource Library has expanded to include both peer-reviewed publications and other types of resources such as webinars and screening tools/toolkits on medical and social care integration. To limit your search to peer-reviewed articles, select Peer Reviewed Research under Resource Type. If you have questions about how to use the library or suggestions about additional resources, view this help document or write us at [email protected]. Sign up to receive our monthly newsletter to get alerts about recent additions to the Evidence & Resource Library.

Displaying 31 - 40 of 69

Going beyond clinical care to reduce health care spending: Findings from the J-CHIP community-based population health management program evaluation

S.M.E. Murphy, D.E. Hough, M.L. Sylvia, M. Sherry, L.J. Dunbar, R. Zollinger, R. Richardson, S.A. Berkowitz, K.D. Frick
Med Care

Background: Addressing both clinical and nonclinical determinants of health is essential for improving population health outcomes.

2018

Peer Reviewed Research

Pre-post with Comparison Group

Community navigators reduce hospital utilization in super-utilizers

M.P. Thompson, P.S.B. Podila, C. Clay, J. Sharp, S. Bailey-DeLeeuw, A.J. Berkley, B.G. Baker, T.M. Waters
Am J Manag Care

Objectives: Super-utilizers place a significant burden on the healthcare system. Blending the roles of patient navigators and community health workers may address the clinical and social needs of these patients.

2018

Peer Reviewed Research

Pre-post with Comparison Group

The value of community health workers in diabetes management in low-income populations: A qualitative study

J. Silverman, J. Krieger, G. Sayre, K. Nelson
J Community Health

To describe community health workers (CHWs) roles in a diabetes self-management intervention.

2018

Peer Reviewed Research

Other Study Design

Community-clinical linkages with community health workers in the United States: A scoping review

A.M. Lohr, M. Ingram, A.V. Nunez, K.M. Reinschmidt, S.C. Carvajal
Health Promot Pract

Despite the proliferation of community-clinical linkage (CCL) interventions with community health workers (CHWs), little is known about the components of these programs or how linkages are realized.

2018

Peer Reviewed Research

Review

Navigation delivery models and roles of navigators in primary care: A scoping literature review

N. Carter, R.K. Valaitis, A. Lam, J. Feather, J. Nicholl, L. Cleghorn
BMC Health Serv Res

Background: Systems navigation provided by individuals or teams is emerging as a strategy to reduce barriers to care. Complex clients with health and social support needs in primary care experience fragmentation and gaps in service delivery.

2018

Peer Reviewed Research

Review

Integrating community health workers into medical homes

E.A. Rogers, S.T. Manser, J. Cleary, A.M. Joseph, E.M. Harwood, K.T. Call
Ann Fam Med

Purpose: Though evidence supports the value of community health workers (CHWs) in chronic disease self-management support, and authorities have called for expanding their roles within patient-centered medical homes (PCMHs), few PCMHs in Minnesota have incorporated these health workers into...

2018

Peer Reviewed Research

Other Study Design

Community health workers bring cost savings to patient-centered medical homes

M.L. Moffett, A. Kaufman, A. Bazemore
J Community Health

The Patient-Centered Medical Home (PCMH) model demonstrated that processes of care can be improved while unnecessary care, such as preventable emergency department utilization, can be reduced through better care coordination.

2018

Peer Reviewed Research

Other Study Design

Use of community health workers and patient navigators to improve cancer outcomes among patients served by federally qualified health centers: A systematic literature review

K.B. Roland, E.L. Milliken, E.A. Rohan, A. DeGroff, S. White, S. Melillo, W.E. Rorie, C.C. Signes, P.A. Young
Health Equity

Introduction: In the United States, disparities in cancer screening, morbidity, and mortality are well documented, and often are related to race/ethnicity and socioeconomic indicators including income, education, and healthcare access.

2017

Peer Reviewed Research

Review

Addressing the unmet medical and social needs of complex patients

E. Huffstetler, L. Quincy
Altarum Healthcare Value Hub

Complex patients have multiple chronic conditions and often struggle to manage them. They may have functional limitations, or a combination of vulnerabilities including social disadvantages such as homelessness, low income, behavioral health issues, or being a racial and ethnic minority.

2017

Issue Briefs & Reports

Long-term impact of a postdischarge community health worker intervention on health care costs in a safety-net system

A.A. Galbraith, D.J. Meyers, D. Ross-Degnan, M.E. Burns, C.E. Vialle-Valentin, M.R. Larochelle, S. Touw, F. Zhang, M. Rosenthal, R.B. Balaban
Health Serv Res

Objective: Patient navigators (PNs) may represent a cost-effective strategy to improve transitional care and reduce hospital readmissions. We evaluated the impact of a PN intervention on health system costs in the 180 days after discharge for high-risk patients in a safety-net system.

2017

Peer Reviewed Research

Pre-post with Comparison Group
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