Evidence map›Paper›PMID 40092650›Full record

ArticleAmerican journal of preventive cardiology2025

The community health worker model for cardiovascular kidney metabolic syndrome: A new paradigm for high value care.

Sanjay Rajagopalan, Jeshurun Adarquah-Yiadom, Fonda Mcclain, John Pastor Ansah, Heidi Osborne, Kimberly Nicholson, Zoe Landskroner, Kyia Mountain, Elke Eaton, Jodi Porges and 7 more

Abstract read
In one paragraph

Article in American journal of preventive cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Sanjay RajagopalanHarrington Heart and Vascular Institute, University Hospitals, USA.
Jeshurun Adarquah-YiadomHarrington Heart and Vascular Institute, University Hospitals, USA.
Fonda McclainHarrington Heart and Vascular Institute, University Hospitals, USA.
John Pastor AnsahCase Western Reserve University, School of Medicine, Cleveland, OH, USA.
Heidi OsborneHarrington Heart and Vascular Institute, University Hospitals, USA.
Kimberly NicholsonHarrington Heart and Vascular Institute, University Hospitals, USA.
Zoe LandskronerHarrington Heart and Vascular Institute, University Hospitals, USA.
Kyia MountainHarrington Heart and Vascular Institute, University Hospitals, USA.
Elke EatonHarrington Heart and Vascular Institute, University Hospitals, USA.
Jodi PorgesHarrington Heart and Vascular Institute, University Hospitals, USA.
Rita HorvitzBetter Health Partnerships, Cleveland, OH, USA.
Ian J NeelandHarrington Heart and Vascular Institute, University Hospitals, USA.
Peter PronovostHarrington Heart and Vascular Institute, University Hospitals, USA.
Robert D BrookWayne State University, Detroit, MI, USA.
Jackson T WrightHarrington Heart and Vascular Institute, University Hospitals, USA.
Sadeer Al-KindiHouston Methodist Health System, Houston, TX, USA.
Phillip D LevyWayne State University, Detroit, MI, USA.

Funding

ACHIEVE P3 - CHDP50MD017351 · NIMHD · WAYNE STATE UNIVERSITY · PI LANFEAR, DAVID E · 2021 to 2025
$21.1M
Diversity Suppplement (CIRCADIAN) Circadian Disruption as Mediator of Cardiometabolic Risk in Air PollutionR35ES031702 · NIEHS · CASE WESTERN RESERVE UNIVERSITY · PI Sanjay Rajagopalan · 2021 to 2026
$5.9M
NIEHS NIH HHS R35 ES031702NIMHD NIH HHS P50 MD017351
6 · The paper itself

Abstract

Access and adherence to prevention and therapeutic lifestyle change programs remain largely aspirational for many low resource and minority communities. Given the importance of prevention and the high cost of care in complex medical conditions such as cardiovascular kidney and metabolic syndrome (CKM), new models of care delivery that enhance value are needed. Community health workers (CHWs) may serve as an innovative link between healthcare systems and the community, improving last mile delivery of services for "at risk" community members through education, outreach, informal counseling, social service support, and advocacy. The impending new Center for Medicare Medicaid Services (CMS) reimbursements for Community Health Integration, Social Determinants of Health (SDOH) assessment, and Principal Illness Navigation services in medically necessary care, represents a major shift in reimbursement models. In this review, we explore four overarching barriers to widespread adoption of CHWs, current roles of CHWs in CKM care, including outcomes and data confirming economic viability and sustainability of engaging CHW's in CKM care. We explore problems with existing financial models for CHW involvement, and forthcoming reimbursement pathways and solutions. CHW's are frontline health workers who could be critical in enhancing value for CKM. However current reimbursement models and restructuring of payments needs to occur rapidly to embrace a new cadre of health workers in our fight against adverse CKM health.

Identifiers

PMID40092650
PMCPMC11909450

What OpenQuestion holds

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Registered trials

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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.