Care Coordination for Community Transitions for Individuals Post-Stroke Returning to Low-Resource Rural Communities

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Assesses the Kentucky Care Coordination for Community Transitions (KC3T) program of employing a specially trained community health worker (CHW) as a navigator to aid in the transition of individuals who have had a stroke from acute in-patient care to their rural community. The goal of the study was to determine the community navigation and resources required by people who have had a stroke in order to transition back to rural communities with few resources and to facilitate positive health outcomes.

Patrick Kitzman, Keisha Hudson, Violet Sylvia, Johnnie Lovins

Journal of Community Health, 42(3), 565-572

06/2017

Cardiovascular disease · Care coordination · Community health workers · Informal caregivers · Statistics and data · Kentucky