外文翻譯---社區(qū)健康中心的初級護理-wenkub
2023-05-19 09:00:06 本頁面
【正文】 中心對于與高級的臨床醫(yī)師交流的居民也提供一個理想的環(huán)境。超過百分之四十二的社區(qū)健康中心已經(jīng)擔(dān)任初級護理實習(xí)期項目的訓(xùn)練網(wǎng)點，然而大多數(shù)沒有得到訓(xùn)練費用的資金支持。 在這個方面， 馬薩諸塞州遇到的 一個主要問題是能勝任的初級護理提供者的短缺，并且因醫(yī)療改革而惡化。因為 馬薩諸塞州 2020年醫(yī)療改革計劃和國家改革類型之間的相似點很可能被執(zhí)行，關(guān)于近來馬薩諸塞州經(jīng)驗的分析在建立公共政策方面是非常有價值的。附屬的學(xué)術(shù)機構(gòu)可以獲得診所生產(chǎn)率、實習(xí)生滿意度、畢業(yè)生的招聘、護理的花費、對于其他醫(yī)療專業(yè) 人才逐漸上升的訓(xùn)練機會以及病人的滿意度的數(shù)據(jù)。 我們的提議也會發(fā) 展醫(yī)療教學(xué)中心的可能性，作為為本科生流動醫(yī)療教育的網(wǎng)點，并且促進醫(yī)學(xué)專業(yè)的學(xué)生去選擇初級護理作為以后發(fā)展的事業(yè)。在2020年，美國醫(yī)院的入座人數(shù)高達五百萬，花費了超過 265億美元，這有可能通過高質(zhì)量的初級預(yù)防護理治療來避免。由于以病人為中心的醫(yī)療家庭的有效性和醫(yī)師成倍擴大資深居民的影響，這種安排以實質(zhì)上大大提升的病人的聲音提供傳遞協(xié)調(diào)的高質(zhì)量的可操作的護理的可能性。理想地來說，第一年和第二年居民會被指定去醫(yī)療教學(xué)中心繼續(xù)他們的臨床培訓(xùn)。成為一個已經(jīng)建立的有足夠能力去擴建和配備職員的社區(qū)健康中心的一部分，在 社區(qū)管理上致力于支持教育和服務(wù)任務(wù)，執(zhí)行或者有意愿執(zhí)行對于以病人為中心的醫(yī)學(xué)家庭的全國委員會質(zhì)量管理要求。 in Massachusetts in 2020, they served 1 out of every 13 residents. Health insurance expansion led to a great increase in the demand for primary health care, especially in medically underserved, lowine munities. Acmodating this increase in demand requires increased capacity. In that respect, a major problem encountered in Massachusetts was the shortage of qualified primary care providers, which was exacerbated by health care reform. Massachusetts was the first to experience this problem, although it could soon confront many states . Our proposal builds on more than 25 years of experience of family medicine residencies with munity health centers. Training family physicians in these sites helps increase the number of physicians caring for the underserved, enhances their recruitment of family physicians, and provides highquality education for family physicians . More than 42% of munity health centers already serve as training sites for primary care residency programs, yet most receive no funding to cover the cost of training . Our proposal adds several unique features to the family medicine model. First, it expands training to other primary care disciplines. It also incorporates the patientcentered medical home model of care, which is highly desirable for residency training for the new health care environment. Primary care resident training should be conducted in an ambulatory setting that represents the future of primary care and is attractive to future primary care residents and faculty. Teaching health centers also provide an ideal setting for residents to interact with advanced practice clinicians. The patientcentered medical home environment provides an excellent opportunity to improve skills in leadership, teamwork, patient education, and munication— all important ponents of resident education. Finally, our proposal introduces a new major source of financial support for training in munity health
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