社区健康中心的初级护理外文翻译.docVIP

本科毕业设计（论文） 外 文 翻 译 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 community health centers. These programs could begin increasing the output of well-trained primary care physicians, many of whom would be committed to caring for the underserved, as soon as July 2011. Teaching health centers would be required to be located in a community 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 community health center with the capability to expand and staff the center, as well as be part of a community governance board committed to supporting both the educational and service missions; and have implemented or intend to implement National Committee for Quality Assurance tier-2 requirements for a patient-centered medical home . The patient-centered 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 12-month block of clinic training as a third-year resident. Ideally, first- and second-year residents would be assigned to the teaching health centers for their continuity clinics. Then, as third-year residents, they would be well grounded in clinic logistics and capable of performing as an effective team leader. Third-year residen