外文翻譯---社區(qū)健康中心的初級護理(已修改)
2025-06-01 09:00 本頁面
【正文】 本科畢業(yè)設(shè)計（論文） 外 文 翻 譯 原文： Teaching Primary Care in Community Health Centers THE TEACHING HEALTH CENTER: A DEFINITIVE APPROACH TO THESE KEY PROBLEMS By expanding and integrating existing programs and resources, we propose to establish primary care resident ambulatory training programs in munity health centers. These programs could begin increasing the output of welltrained primary care physicians, many of whom would be mitted to caring for the underserved, as soon as July 2020. Teaching health centers would be required to be located in a munity health center in a primary care health professional shortage area as designated by the Health Resources and Services Administration。 be affiliated with a residency program in family medicine, internal medicine, or pediatrics and capable of using this setting for primary care resident ambulatory training。 be part of an established munity health center with the capability to expand and staff the center, as well as be part of a munity governance board mitted to supporting both the educational and service missions。 and have implemented or intend to implement National Committee for Quality Assurance tier2 requirements for a patientcentered medical home . The patientcentered medical home is a practice model that effectively supports the core functions of primary care, uses electronic medical records, and emphasizes prevention and the management of chronic disease . Qualification criteria for these programs have been described in detail elsewhere . Primary care residents would be the principal providers of primary care services, in close partnership with appropriate faculty, during a 12month block of clinic training as a thirdyear resident. Ideally, first and secondyear residents would be assigned to the teaching health centers for their continuity clinics. Then, as thirdyear residents, they would be well grounded in clinic logistics and capable of performing as an effective team leader. Thirdyear residents would work in a practice that emphasized continuity of care, with robust faculty support for the development of resident team management and ambulatory clinical skills. Continuity of care would be ensured through the close working relationship between the resident and the supervising faculty member. This arrangement would provide the capacity to deliver coordinated, highquality, and accessible care— with a substantially increased patient volume— because of the efficiencies of the patientcentered medical home and the physician multiplier effect
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