Glasser Michael, Holt Nancy, Hall Kelly, Mueller Ben, Norem Julia, Pickering John, Brown Kathleen, Peters Karen
The Center for Rural Health Professions, College of Medicine, University of Illinois-Rockford, 61107, USA.
Fam Community Health. 2003 Jul-Sep;26(3):230-45. doi: 10.1097/00003727-200307000-00008.
This article describes the organization and outcomes of a Rural Health Outreach Initiative (RHOI) designed to increase collaboration between the medical education and health care delivery sectors to improve the quality of health care delivery and health outcomes in rural communities. Two inter-related partnership strategies were utilized in rural communities to address the health and social service needs of rural populations. The partnerships were created through the efforts of a rural health professions education program located in a community-based medical school. The two partnership models were implemented at the same time and target the same rural populations. Both strategies relied upon interdisciplinary collaborations to achieve their goals and outcomes. One strategy involved the creation of partnerships among rural medical students and the projects they initiate, using the model of community oriented primary care (COPC). The second strategy involved the establishment of partnerships by a variety of rural, community-based entities that resulted from a three-year Health Resources and Services Administration Rural Health Outreach grant that supported a "mini-grant" program. This article summarizes the process and results of these innovative collaborations that occurred at two levels: (1) between health and service institutions representing multiple disciplines and (2) between academic institutions and local communities. Specific attention is given to projects that resulted from the work of the partnerships that address the needs of older adults residing in the rural communities. The two strategies are compared and implications for the success of similar efforts are discussed.
本文描述了一项农村卫生外展倡议（RHOI）的组织情况及成果，该倡议旨在加强医学教育与医疗服务提供部门之间的合作，以提高农村社区的医疗服务质量和健康水平。在农村社区采用了两种相互关联的伙伴关系策略，以满足农村人口的健康和社会服务需求。这些伙伴关系是通过一所社区医学院的农村卫生专业教育项目的努力建立起来的。两种伙伴关系模式同时实施，针对相同的农村人口。两种策略都依靠跨学科合作来实现其目标和成果。一种策略是利用以社区为导向的初级保健（COPC）模式，在农村医学生及其发起的项目之间建立伙伴关系。第二种策略是由各种农村社区实体建立伙伴关系，这是由卫生资源与服务管理局的一项为期三年的农村卫生外展拨款促成的，该拨款支持了一个“小额拨款”项目。本文总结了这些创新合作在两个层面上的过程和结果：（1）代表多个学科的卫生和服务机构之间；（2）学术机构与当地社区之间。特别关注了因伙伴关系工作而产生的、满足农村社区老年人需求的项目。对这两种策略进行了比较，并讨论了类似努力取得成功的影响因素。
