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Community Health Workers in Early Childhood Well-Child Care for Medicaid-Insured Children

5 May 2023 3:56 PM | Deborah Hodges (Administrator)

What is the effectiveness of the Parent-focused Redesign for Encounters, Newborns to Toddlers intervention, a model for well-child care that integrates a community health worker into preventive care services at well-child care visits?  [JAMA Network]

Findings  In this cluster randomized clinical trial including 914 parents with a child younger than 2 years of age, those in the intervention group had a higher score for parent-reported receipt of recommended anticipatory guidance during well-child visits vs the usual care group (mean score, 73.9 vs 63.3, respectively); however, emergency department use was similar in the intervention and usual care groups (37.2% vs 36.1%, respectively).

Meaning  Integrating a community health worker into well-child care visits to provide early childhood preventive care services can improve the care that children receive.

Full paper here> 

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