Publications

BibTex format

@article{Junghans:2023:10.1186/s12913-023-10084-8,
author = {Junghans, Minton C and Harris, M and Williams, A and Antonacci, G},
doi = {10.1186/s12913-023-10084-8},
journal = {BMC Health Services Research},
title = {Learning from the universal, proactive outreach of the Brazilian Community Health Worker model: impact of a Community Health and Wellbeing Worker initiative on vaccination, cancer screening and NHS health check uptake in a deprived community in the UK},
url = {http://dx.doi.org/10.1186/s12913-023-10084-8},
volume = {23},
year = {2023}
}

Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundDelays in preventative service uptake are increasing in the UK. Universal, comprehensive monthly outreach by Community Health and Wellbeing Workers (CHW), who are integrated at the GP practice and local authority, offer a promising alternative to general public health campaigns as it personalises health promotion and prevention of disease holistically at the household level. We sought to test the ability of this model, which is based on the Brazilian Family Health Strategy, to increase prevention uptake in the UK.MethodsAnalysis of primary care patient records for 662 households that were allocated to five CHWWs from July 2021. Primary outcome was the Composite Referral Completion Indicator (CRCI), a measure of how many health promotion activities were received by members of a household relative to the ones that they were eligible for during the period July 2021-April 2022. The CRCI was compared between the intervention group (those who had received at least one visit) and the control group (allocated households that were yet to receive a visit). A secondary outcome was the number of GP visits in the intervention and control groups during the study period and compared to a year prior.ResultsIntervention and control groups were largely comparable in terms of household occupancy and service eligibilities. A total of 2251 patients in 662 corresponding households were allocated to 5 CHWs and 160 households had received at least one visit during the intervention period. The remaining households were included in the control group. Overall service uptake was 40% higher in the intervention group compared to control group (CRCI: 0.21 ± 0.15 and 0.15 ± 0.19 respectively). Likelihood of immunisation uptake specifically was 47% higher and cancer screening and NHS Health Checks was 82% higher. The average number of GP consultations per household decreased by 7.4% in the intervention group over the first 10 months of the pilot c
AU  - Junghans,Minton C
AU  - Harris,M
AU  - Williams,A
AU  - Antonacci,G
DO  - 10.1186/s12913-023-10084-8
PY  - 2023///
SN  - 1472-6963
TI  - Learning from the universal, proactive outreach of the Brazilian Community Health Worker model: impact of a Community Health and Wellbeing Worker initiative on vaccination, cancer screening and NHS health check uptake in a deprived community in the UK
T2  - BMC Health Services Research
UR  - http://dx.doi.org/10.1186/s12913-023-10084-8
UR  - https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-023-10084-8
UR  - http://hdl.handle.net/10044/1/107077
VL  - 23
ER  -

Download

DrMatthewHarris

Contact

Location

Summary

Citation

BibTex format

RIS format (EndNote, RefMan)