title: Practice and Power: Community Health Workers and the Promise of Moving Health Care Upstream.
abstract: Against the backdrop of historic upheavals in American health care, a resurgent interest in the role of community health workers (CHWs) presents important strategic and technical questions. The ability to successfully navigate these issues and expand the health care role and impact of CHWs will depend on how stakeholders reimagine elements of practice and structures of power in American medicine. Practice redesign and redefined power dynamics can help health care settings successfully integrate CHWs, address social determinants of health for patients and communities, and achieve the Triple Aim of improved outcomes, higher quality of care, and lower costs.
authors.affiliation: HealthBegins & Veterans Health Administration Greater Los Angeles Healthcare System.
authors.forename: Rishi
authors.initials: R
authors.lastname: Manchanda
mesh_terms: D003150:Community Health Workers; D003363:Cost Control; D006801:Humans; D024382:Professional Role; D058996:Quality Improvement; D011787:Quality of Health Care; D064890:Social Determinants of Health; D014481:United States