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将再入门医学融入医学教育:一个由学生经营的免费诊所模型
Felicia B Guo1, Jack Bookbinder1, Anthony J Pamatmat1
1University of Rochester School of Medicine & Dentistry, Rochester, New York, USA.
概括
嵌入在学生经营的免费诊所 (SRFC) 内的一家新的重新入境诊所改善了以前被监禁的人的医疗保健机会. 这种模式解决了关键的护理障碍,并促进了健康公平.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
背景情况:
- 以前被监禁的人面临着严重的结构性障碍,无法获得医疗保健.
- 现有的学术医疗中心资源,比如学生运营的免费诊所 (SRFCs),在重新进入健康方面未得到充分利用.
- 需要创新的模型来解决从监禁中返回的人的健康差异.
研究的目的:
- 描述一种新型的重返入境诊所的开发和实施.
- 评估将重新进入诊所嵌入到现有的SRFC网络中的可行性和影响.
- 突出学术医疗中心在促进涉及犯罪人口的健康公平方面的作用.
主要方法:
- 一个大学附属的SRFC和一个社区重新入境组织之间的合作.
- 将重新进入诊所集成到SRFC的现有基础设施中.
- 利用机构资金,学生志愿者,并建立了可持续性的行政系统.
主要成果:
- 开幕一年,有13个诊所举行,有91名患者预定,达到53%的出席率.
- 患者最常寻求的是初级保健和牙科服务的转诊.
- 该模型证明了医学生获得更好的护理和培养临床能力.
结论:
- 将重新入境诊所嵌入SRFC提供了一个可持续和可复制的模型,用于改善以前被监禁的人的健康结果.
- 学术医疗中心可以利用现有的资源来解决再入境健康障碍,促进健康公平.
- 这项倡议旨在为未来的医生们提供以患者为中心的护理,为服务不足的人群提供服务.
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