A cost analysis of a community health worker program in rural vermont

Journal of Community Health

Volumn 38, Issue 6, 2013, Pages 1050-1057

  Mirambeau, Alberta M ^a   Wang, Guijing ^a   Ruggles, Laural ^b   Dunet, Diane O ^a  

^a CENTERS FOR DISEASE CONTROL AND PREVENTION   (United States)

^b Northeastern Vermont Regional Hospital   (United States)

Author keywords

Community health worker; Health care system; Program cost

Indexed keywords

COST; ECONOMICS; HEALTH AUXILIARY; HEALTH CARE DELIVERY; HUMAN; PROGRAM EVALUATION; RURAL HEALTH CARE; VERMONT;

COMMUNITY HEALTH WORKERS; COSTS AND COST ANALYSIS; HEALTH SERVICES ACCESSIBILITY; HUMANS; PROGRAM EVALUATION; RURAL HEALTH SERVICES; VERMONT;

MLCS; MLOWN;

EID: 84888636709     PISSN: 00945145     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10900-013-9713-x     Document Type: Article

References (32)

1. Centers for Disease Control and Prevention. (2011). Rising health care costs are unsustainable. Retrieved from http://www.cdc.gov/ workplacehealthpromotion/businesscase/reasons/rising.html.
2. Fedder, D. O.; Chang, R. J.; Curry, S.; et al. (2003). The effectiveness of a community health worker outreach program on healthcare utilization of west Baltimore City Medicaid patients with diabetes, with or without hypertension. Ethnicity and Disease, 12(1), 22-27.
3. Johnson, D.; Saavedra, P.; Sun, E.; et al. (2012). Community health workers and Medicaid managed care in New Mexico. Journal of Community Health, 37(3), 563-571.
4. Felix, H. C.; Mays, G. P.; Stewart, M. K.; et al. (2011). The care span: Medicaid savings resulted when community health workers matched those with needs to home and community care. Health Affairs, 30(7), 1366-1374.
5. Viswanathan, M.; Kraschnewski, J. L.; Nishikawa, B.; et al. (2010). Outcomes and costs of community health worker interventions: A systematic review. Medical Care, 48(9), 792-808.
6. Health Resources and Services Administration, Office of Rural Health Policy. (2011). Community health workers evidence-based models toolbox. Washington, DC: US Department of Health and Human Services, HRSA. Retrieved from http://www.hrsa.gov/ruralhealth/pdf/chwtoolkit.pdf.
7. Wolff, N.; Helminiak, T.; Morse, G.; et al. (1997). Cost-effectiveness evaluation of three approaches to case management for homeless mentally ill clients. American Journal of Psychiatry, 154(3), 341-348.
8. Smedley, B.; Stith, A.; Nebon, A. (2002). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: Institute of Medicine.
9. Primomo, J.; Johnston, S.; DiBiase, F.; et al. (2006). Evaluation of a community-based outreach worker program for children with asthma. Public Health Nursing, 23(3), 234-241.
10. Elder, J. P.; Ayala, G. X.; Campbell, N. R.; et al. (2005). Interpersonal and print nutrition communication for a Spanish-dominant Latino population: Secretos de la Buena Vida. Health Psychology, 24(1), 49-57.
11. Patient Protection and Affordable Care Act (2010). Public Law No. 111-148, §2702, 124 Stat. 119, 318-319. Retrieved from http://www.gpo.gov/ fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf.
12. Paskett, E. D.; Harrop, J. P.; Wells, K. J. (2011). Patient navigation: An update on the state of the science. Cancer Journal for Clinicians, 61(4), 237-249.
13. Varner, A.; Murph, P. (2010) Cancer patient navigation: Where do we go from here? Oncology Issues, pp. 50-53. http://accc-cancer.org/oncology-issues/ articles/mayjune10/MJ10-VarnerMurph.pdf.
14. Stockdale, S. E.; Keeler, E.; Duan, N.; et al. (2000). Costs and cost-effectiveness of a church-based intervention to promote mammography screening. Health Services Research, 35(5 Pt 1), 1037-1057.
15. Institute of Medicine. (2012). Living well with chronic illness: a call for public health action. Washington, DC: National Academy of Sciences. Retrieved from http://www.iom.edu/~/media/Files/Report%20Files/2012/Living-Well- with-Chronic-Illness/livingwell-chronicillness-reportbrief.pdf.
16. Harrison, P. L.; Pope, J. E.; Coberley, C. R.; et al. (2012). Evaluation of the relationship between individual well-being and future health care utilization and cost. Population Health Management, 15(6), 325-330.
17. Saatci, E.; Tahmiscioglu, G.; Bozdemir, N.; et al. (2010). The well-being and treatment satisfaction of diabetic patients in primary care. Health Quality of Life Outcomes, 8, 67.
18. Allen, J. K.; Himmelfarb, C. R.; Szanton, S. L.; et al. (2011). COACH trial: A randomized controlled trial of nurse practitioner/community health worker cardiovascular disease risk reduction in urban community health centers: Rationale and design. Contemporary Clinical Trials, 32(3), 403-411.
19. Rural Assistance Center. (2012). Vermont. Retrieved from http://www.raconline.org/states/vermont.php.
20. US Census Bureau. (2012). Vermont state and county quickfacts. Retrieved from http://quickfacts.census.gov/qfd/states/50000.html.
21. US Census Bureau. (2012). Caledonia County, Vermont state and county quickfacts. Retrieved from http://quickfacts.census.gov/qfd/states/50/50005. html.
22. Vermont Department of Health. (2012). Behavioral risk factory surveillance system data map. Retrieved from http://healthvermont.gov/research/ IA/HSA/SingleMap/atlas.html.
23. Centers for Disease Control and Prevention. (2012). Chronic disease indicators. Retrieved from http://apps.nccd.cdc.gov/cdi/SearchResults.aspx? IndicatorIds=0,26,1,33,37,2,15,3,4,6,5,9,35,11,22,64,29,7,8,126,76,73,59,57,45, 51,63,70,58,53,47,41,65,69,72,75,48,42,23,18,27,25,13,20,62,56,52,46,40,78,68, 28,39,32,12,61,34,31,24,19,38,127,128,129,130,131,132,133,134,36,50,44,136,135, 55,16,122,123,124,54,49,10,14,74,77,43,30,17,21,60,&StateIds=46, 48&StateNames=United%20States,Vermont&FromPage=HomePage.
24. Centers for Disease Control and Prevention. (2012). Interactive atlas of heart disease and stroke. Retrieved from http://apps.nccd.cdc.gov/DHDSPAtlas/ viewer.aspx?state=VT.
25. Walker, D. G.; Jan, S. (2005). How do we determine whether community health workers are cost-effective? Some core methodological issues. Journal of Community Health, 30(3), 221-229.
26. LoopNet Property Records. (2012). Commercial property record: Hospital drive. Retrieved from http://www.loopnet.com/Property-Record/Hospital-Drive- Saint-Johnsbury-VT-05819/TeH0uBy9Q/Sale-Lease/?LID=17002951&LinkCode= 21740&PgCxtGuid=bf95f13b-f4d2-4612-9c2b-45596fd033fb&PgCxtFLKey= &PgCxtCurFLKey=Profile&PgCxtDir=Down.
27. Krieger, J. W.; Takaro, T. K.; Song, L.; et al. (2005). The Seattle-King County Healthy Homes Project: A randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers. American Journal of Public Health, 95(4), 652-659.
28. Whitley, E. M.; Everhart, R. M.; Wright, R. A. (2006). Measuring return on investment of outreach by community health workers. Journal of Health Care for the Poor Underserved, 17(1 Suppl), 6-15.
29. Balcazar, H.; Alvarado, M.; Hollen, M. L.; et al. (2006). Salud para Su Corazon-NCLR: A comprehensive promotora outreach program to promote heart-healthy behaviors among Hispanics. Health Promotion Practice, 7(1), 68-77.
30. Brown, H. S.; Wilson, K. J.; Pagan, J. A.; et al. (2012). Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes. Preventing Chronic Disease, 9, 120074.
31. Brownstein, J. N.; Bone, L. R.; Dennison, C. R.; et al. (2005). Community health workers as interventionists in the prevention and control of heart disease and stroke. American Journal of Preventive Medicine, 29(5S1), 128-133.
32. Wang, G.; Macera, C. A.; Scudder-Soucie, B.; et al. (2004). Cost analysis of the built environment: The case of bike and pedestrian trials in Lincoln, Neb. American Journal of Public Health, 94, 549-553.