Physician and nurse practitioner perceptions of social worker and community health worker roles in primary care practices caring for frail elders: Insights for social work

References

• Administration on Aging. (2016). Aging statistics. Retrieved from https://aoa.acl.gov/Aging_Statistics/index.aspx
   Google Scholar
• Altfeld, S., Pavle, K., Rosenberg, W., & Shure, I. (2012). Integrating care across settings: The Illinois transitional care consortium’s bridge model. Generations, 36(4), 98–101.
   Web of Science ®Google Scholar
• American Public Health Association. (2014). Support for community health workers leadership in determining workforce standards for training and credentialing Retrieved from https://www.apha.org/policies-and-advocacy/public-health-policy-statements/%20policy-database/2015/01/28/14/15/support-for-community-health-worker-leadership
   Google Scholar
• Andrews, C. M., Darnell, J. S., McBride, T. D., & Gehlert, S. (2013). Social work and implementation of the affordable care act. Health & Social Work, 38(2), 67–71. doi:10.1093/hsw/hlt002
   PubMed Web of Science ®Google Scholar
• Ashcroft, R., McMillan, C., Ambrose-Miller, W., McKee, R., & Brown, J. B. (2018). The emerging role of social work in primary health care: A survey of social workers in Ontario family health teams. Health & Social Work, 43(2), 109–117.
   PubMed Web of Science ®Google Scholar
• Basso Lipani, M., Holster, K., & Bussey, S. (2015). The Preventable Admissions Care Team (PACT): A social work–led model of transitional care. Social Work in Health Care, 54(9), 810–827. doi:10.1080/00981389.2015.1084970
   PubMed Web of Science ®Google Scholar
• Bernhardt, A. K., Lynn, J., Berger, G., Lee, J. A., Reuter, K., Davanzo, J., … Dobson, A. (2016). Making it safe to grow old: A financial simulation model for launching mediCaring communities for frail elderly medicare beneficiaries. The Milbank Quarterly, 94(3), 597–625. doi:10.1111/milq.2016.94.issue-3
   PubMed Web of Science ®Google Scholar
• Bronstein, L. R., Gould, P., Berkowitz, S. A., James, G. D., & Marks, K. (2015). Impact of a social work care coordination intervention on hospital readmission: A randomized controlled trial. Social Work, 60(3), 248–255. doi:10.1093/sw/swv016
   PubMed Web of Science ®Google Scholar
• Council on Social Work Education (CSWE). (2017a). Specialized practice curricular guide for gero social work practice. Alexandria, VA: CSWE.
   Google Scholar
• Council on Social Work Education (CSWE). (2017b). EPAS Handbook. Retrieved from: https://www.cswe.org/Accreditation/Standards-and-Policies/EPAS-Handbook
   Google Scholar
• Donelan, K., Chang, Y., Berrett-Abebe, J., Spetz, J., Auerbach, D. I., Norman, L., & Buerhaus, P. I. (2019). Care management for older adults: The roles of nurses, social workers, and physicians. Health Affairs, 38(6), 941–949. doi:10.1377/hlthaff.2019.00030
   Web of Science ®Google Scholar
• Donini-Lenhoff, F. G. (2008). Coming together, moving apart: A history of the term allied health in education, accreditation, and practice. Journal of Allied Health, 37(1), 45–52.
   PubMedGoogle Scholar
• Dyeson, T. B. (2005). The myriad roles of the home care social worker. Home Health Care Management & Practice, 17(5), 398–400. doi:10.1177/1084822305275956
   Google Scholar
• Enguidanos, S., Coulourides Kogan, A., Keefe, B., Geron, S. M., & Katz, L. (2011). Patient- centered approach to building problem solving skills among older primary care patients: Problems identified and resolved. Journal of Gerontological Social Work, 54(3), 276–291. doi:10.1080/01634372.2011.552939
   PubMed Web of Science ®Google Scholar
• Feinglass, J., Norman, G., Golden, R. L., Muramatsu, N., Gelder, M., & Cornwell, T. (2018). Integrating social services and home-based primary care for high-risk patients. Population Health Management, 21(2), 96–101. doi:10.1089/pop.2017.0026
   PubMed Web of Science ®Google Scholar
• Freeman, H. P. (2013). The history, principles, and future of patient navigation: Commentary. Seminars in Oncology Nursing, 29(2), 72–75. doi:10.1016/j.soncn.2013.02.002
   PubMedGoogle Scholar
• Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., … Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: A randomized clinical trial. JAMA Pediatrics, 170(11), e162521–e162521. doi:10.1001/jamapediatrics.2016.2521
   PubMed Web of Science ®Google Scholar
• IQVIA. (2018). SK&A by IQVIA. Retrieved from http://www.skainfo.com/
   Google Scholar
• Jack, H. E., Arabadjis, S. D., Sun, L., Sullivan, E. E., & Phillips, R. S. (2017). Impact of community health workers on use of healthcare services in the United States: A systematic review. Journal of General Internal Medicine, 32(3), 325–344. doi:10.1007/s11606-016-3922-9
   PubMed Web of Science ®Google Scholar
• Jones, B., & Phillips, F. (2016). Social work and interprofessional education in health care: A call for continued leadership. Journal of Social Work Education, 52(1), 18–29. doi:10.1080/10437797.2016.1112629
   Web of Science ®Google Scholar
• Kangovi, S., Mitra, N., Grande, D., Huo, H., Smith, R. A., & Long, J. A. (2017). Community health worker support for disadvantaged patients with multiple chronic diseases: A randomized clinical trial. American Journal of Public Health, 107(10), 1660–1667. doi:10.2105/AJPH.2017.303985
   PubMed Web of Science ®Google Scholar
• Keefe, B., Geron, S. M., & Enguidanos, S. (2009). Integrating social workers into primary care: Physician and nurse perceptions of roles, benefits, and challenges. Social Work in Health Care, 48(6), 579–596. doi:10.1080/00981380902765592
   PubMed Web of Science ®Google Scholar
• Kitchen, A., & Brook, J. (2005). Social work at the heart of the medical team. Social Work in Health Care, 40(4), 1–18. doi:10.1300/J010v40n04_01
   PubMed Web of Science ®Google Scholar
• Malcarney, M. B., Pittman, P., Quigley, L., Horton, K., & Seiler, N. (2017). The changing roles of community health workers. Health Services Research, 52(S1), 360–382. doi:10.1111/1475-6773.12657
   PubMed Web of Science ®Google Scholar
• Mittelman, M. S., Haley, W. E., Clay, O. J., & Roth, D. L. (2006). Improving caregiver well- being delays nursing home placement of patients with Alzheimer disease. Neurology, 67(9), 1592–1599. doi:10.1212/01.wnl.0000242727.81172.91
   PubMed Web of Science ®Google Scholar
• Mizrahi, T., & Rizzo, V. M. (2008). Perspectives on the roles and value of social work practice in neighborhood health centers and implications for the reimbursement of services. Social Work in Public Health, 23(6), 99–125. doi:10.1080/19371910802059668
   PubMedGoogle Scholar
• Reckrey, J. M., Soriano, T. A., Hernandez, C. R., DeCherrie, L. V., Chavez, S., Zhang, M., & Ornstein, K. (2015). The team approach to home-based primary care: Restructuring care to meet individual, program, and system needs. Journal of the American Geriatrics Society, 63, 358–364. doi:10.1111/jgs.2015.63.issue-2
   PubMed Web of Science ®Google Scholar
• Rizzo, V. M., & Rowe, J. M. (2016). Cost-effectiveness of social work services in aging: An updated systematic review. Research on Social Work Practice, 26(6), 653–667.
   Web of Science ®Google Scholar
• Rizzo, V. M., Rowe, J. M., Shier Kricke, G., Krajci, K., & Golden, R. (2016). AIMS: A care coordination model to improve patient health outcomes. Health & Social Work, 41, 191–195. doi:10.1093/hsw/hlw029
   PubMed Web of Science ®Google Scholar
• Robbins, L. A. (2013). National center for gerontological social work education (Gero-Ed center): Program review. Retrieved from http://www.johnahartford.org/images/uploads/reports/120522_Gero-Ed_Rpt.pdf
   Google Scholar
• Rowe, J. M., Rizzo, V. M., Shier Kricke, G., Krajci, K. M. N., Rodriguez- Moralez, G., & Golden, R. (2016). The ambulatory integration of the medical and social (AIMS) model: A retrospective evaluation. Social Work in Health Care, 55, 1–15. doi:10.1080/00981389.2016.1164269
   PubMed Web of Science ®Google Scholar
• Salsberg, E., Quigley, L., Mehfoud, N., Acquaviva, K., Wyche, K., & Sliwa, S. (2017). Profile of the social work workforce. Retrieved from https://www.cswe.org/Centers-Initiatives/Initiatives/National-Workforce-Initiative/SW-Workforce-Book-FINAL-11-08-2017.aspx
   Google Scholar
• SAMHSA-HRSA. (2018). SAMHSA-HRSA center for integrated care solutions. Retrieved from https://www.integration.samhsa.gov/integrated-care-models
   Google Scholar
• Spencer, M. S., Gunter, K. E., & Palmisano, G. (2010). Community health workers and their value to social work. Social Work, 55(2), 169–180. doi:10.1093/sw/55.2.169
   PubMed Web of Science ®Google Scholar
• Stanhope, V., Videka, L., Thorning, H., & McKay, M. (2015). Moving toward integrated health: An opportunity for social work. Social Work in Health Care, 54(5), 383–407.
   PubMed Web of Science ®Google Scholar
• Tracy, C. S., Bell, S. H., Nickell, L. A., Charles, J., & Upshur, R. E. (2013). The IMPACT clinic: Innovative model of interprofessional primary care for elderly patients with complex health care needs. Canadian Family Physician, 59(3), e148–e155.
   PubMed Web of Science ®Google Scholar
• U.S. Department of Health and Human Services. (2007). Community health worker national workforce study. An annotated bibliography. Retrieved from https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/projections/communityhealthworkforcebibliography.pdf
   Google Scholar
• Voss, R., Gardner, R., Baier, R., Butterfield, K., Lehrman, S., & Gravenstein, S. (2011). The care transitions intervention: Translating from efficacy to effectiveness. Archives of Internal Medicine, 171(14), 1232–1237. doi:10.1001/archinternmed.2011.278
   PubMed Web of Science ®Google Scholar
• Ward, B. W., Schiller, J. S., & Goodman, R. A. (2014). Peer reviewed: Multiple chronic conditions among us adults: A 2012 update. Preventing Chronic Disease, 11, E62. doi:10.5888/pcd11.130389
   PubMed Web of Science ®Google Scholar
• Watkins, L., Hall, C., & Kring, D. (2012). Hospital to home: A transition program for frail older adults. Professional Case Management, 17(3), 117–123. doi:10.1097/NCM.0b013e318243d6a7
   PubMedGoogle Scholar
• Wieland, D., Kinosian, B., Stallard, E., & Boland, R. (2013). Does medicaid pay more to a program of all-inclusive care for the elderly (PACE) than for fee-for-service long-term care? The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 68(1), 47–55. doi:10.1093/gerona/gls137
   PubMed Web of Science ®Google Scholar