ArticleJournal of the Royal Society of Medicine2018
Integrating a nationally scaled workforce of community health workers in primary care: a modelling study.
Article in Journal of the Royal Society of Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 34 citations in OpenAlex.
- Community Health Workers as a Strategy to Tackle Psychosocial Suffering Due to Physical Distancing: A Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- It's time to get serious about funding neighbourhood health care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Transforming dementia care pathway: why shifting to a universal, comprehensive, proactive, local, and integrated model is imperative to improve outcomes.Frontiers in dementia · 2025Article
- Piloting a community health and well-being worker model in Cornwall: a guide for implementation and spread.BMC primary care · 2024Article
- Facilitating access to primary care for people living in socio-economically vulnerable circumstances in Belgium through community health workers: towards a conceptual model.BMC primary care · 2023Article
- Learning from the universal, proactive outreach of the Brazilian Community Health Worker model: impact of a Community Health and Wellbeing Worker initiative on vaccination, cancer screening and NHS health check uptake in a deprived community in the UK.BMC health services research · 2023Article
- A time-motion study of community health workers delivering community-based primary health care in Neno District, Malawi.Human resources for health · 2023Article
- Maximising the impact of social prescribing on population health in the era of COVID-19.Journal of the Royal Society of Medicine · 2020Article
- National UK programme of community health workers for COVID-19 response.Lancet (London, England) · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
Abstract
objectiveTo model cost and benefit of a national community health worker workforce.
designModelling exercise based on all general practices in England.
settingUnited Kingdom National Health Service Primary Care.
participantsNot applicable. DATA SOURCES: Publicly available data on general practice demographics, population density, household size, salary scales and screening and immunisation uptake.
main outcome measuresWe estimated numbers of community health workers needed, anticipated workload and likely benefits to patients.
resultsConservative modelling suggests that 110,585 community health workers would be needed to cover the general practice registered population in England, costing £2.22bn annually. Assuming community health workerss could engage with and successfully refer 20% of eligible unscreened or unimmunised individuals, an additional 753,592 cervical cancer screenings, 365,166 breast cancer screenings and 482,924 bowel cancer screenings could be expected within respective review periods. A total of 16,398 additional children annually could receive their MMR1 at 12 months and 24,716 their MMR2 at five years of age. Community health workerss would also provide home-based health promotion and lifestyle support to patients with chronic disease.
conclusionA scaled community health worker workforce integrated into primary care may be a valuable policy alternative. Pilot studies are required to establish feasibility and impact in NHS primary care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.