【正文】
eral grantsincluding grants from the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the National Institutes of Health, and the Substance Abuse and Mental Health Services Administrationand by the Massachusetts Department of Public Health. However, there is a substantial shortfall in funding for Fenway39。s wide array of programs, and the center continues to solicit independent donors, corporations, and foundations and to conduct fundraising activities. Fenway is one of the major beneficiaries of the BostonNew York AIDS Bicycle Ride. Next Steps Fenway Community Health has evolved over the past 3 decades from a munity health center to a model demonstrating how munitybased LGBT services can be integrated with other innovative and culturally specific programs. The infrastructure that evolved to respond to the plex biopsychosocial challenges of AIDS helped to jumpstart the development of a large number of activities that addressed the other health concerns of the LGBT munity. We hope that the sustainability of Fenway39。s nonAIDS health programs will continue as public health officials are sensitized to the special needs of LGBT people. Although other munities may not choose to replicate or be able to provide all of the programs that are available at Fenway, we hope this report will encourage local discussions that will facilitate the development of parable programs in other settings. The premise of Fenway Community Health is not that LGBT individuals cannot receive petent care from beterosexual health care providers or in settings where LGBT patients are not a primary focus. Rather, Fenway39。s unique, culturally specific programs can serve as models of care for LGBT individuals in other settings throughout the country. The goal is for LGBT individuals, wherever they are, to receive the most culturally petent and clinically proficient services possible. In the future, Fenway Community Health will continue to disseminate information learned during the establishment of its unique programs and to train health care providers and administrators in other settings to establish programs similar to those that Fenway has proven successful in addressing the specific health care needs of LGBT individuals. Acknowledgments We wish to acknowledge the hard work of dedicated staff, board members, and volunteers of Fenway Community Health, particularly those who gave their talents, time, and energy in the early years. Henia Handler, Louise Rice, and Matt Iwanowicz assisted with the preparation of this report. Mayer K。 Rogers T。 Bradford J。 .American Journal Of Public Health, 2020, Vol. 91 (6), pp. 892 譯文 : 芬微社區(qū)衛(wèi)生演變模型 實(shí)地行動(dòng)報(bào)告 芬微社區(qū)衛(wèi)生中心是由社區(qū)活動(dòng)積極分子于 1971 年在其附近的波士頓、馬薩諸塞州建立起來(lái)的,在十年內(nèi)迅速擴(kuò)大它針對(duì)于同性戀艾滋病問(wèn)題的醫(yī)療服務(wù)。在女同性戀者、男同性戀者、雙性戀者和變性人的醫(yī)療關(guān)懷問(wèn)題上面,專業(yè)知識(shí)和文化理解在逐漸增長(zhǎng),這導(dǎo)致了為解決更多社會(huì)關(guān)注的醫(yī)療服務(wù)范圍的擴(kuò)大,從藥物的使用問(wèn)題到家庭的養(yǎng)育問(wèn)題,同性暴力,以及為女同性戀者、雙性戀者和變性人個(gè)體設(shè)置的專門程序。 芬微開(kāi)始是一個(gè)基層社區(qū)診所。在 1975 年,該中心記 錄了 5000 名病人的就診情況;在 200 年,芬微的臨