title: Lessons in translation: insights from a collaboration integrating community health workers into diabetes care.
abstract: Beginning in 2007, a community health center and a community health worker organization collaborated on a community health worker initiative to improve diabetes outcomes among underserved communities. Despite a shared vision, the initiative ended prematurely because of a number of unexpected collaborative challenges. This article describes the results of a qualitative investigation into these challenges. Through examples, we show how our collaborative difficulties were due to 3 interacting influences: logistics, participation, and institutional culture. We argue for the importance of institutional cultural competency in health care collaborations and provide recommendations for future collaborations that takes into account these 3 overarching influences.
authors: Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA. tsalant@partners.org
authors: Talya
authors: T
authors: Salant
authors: Samuel
authors: S
authors: Slavin
authors: Emily
authors: E
authors: Baumrin
authors: Michelle
authors: M
authors: Bordeu
authors: Maura
authors: M
authors: Rowley
authors: Ethan
authors: E
authors: Brackett
authors: Philip
authors: P
authors: Severin
authors: Heidi
authors: H
authors: Behforouz
mesh_terms: D003150:Community Health Workers; D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D017598:Efficiency, Organizational; D006801:Humans; D008507:Medically Underserved Area; D008603:Mental Health; D015279:Organizational Culture; D036301:Qualitative Research