Proser Michelle
National Association of Community Health Centers, Inc, Washington, DC 20036, USA.
J Ambul Care Manage. 2005 Oct-Dec;28(4):321-30. doi: 10.1097/00004479-200510000-00007.
Community health centers were designed to overcome barriers to healthcare and narrow health disparities faced by underserved communities. Given the increased attention health centers are now receiving over expansion efforts, questions over their quality of care and cost-effectiveness must be addressed. This article reviews the relevant literature and documents that health centers improve access for hard-to-reach and underserved populations, provide continuous and high-quality primary care, and reduce the use of costlier providers of care, such as emergency departments and hospitals. The health center model produces substantial benefits for patients, communities, insurers, and governments.
社区卫生中心旨在克服医疗保健障碍,缩小服务不足社区所面临的健康差距。鉴于目前卫生中心在扩张努力方面受到越来越多的关注,必须解决有关其医疗质量和成本效益的问题。本文回顾了相关文献,并记录了卫生中心改善了难以接触到的人群和服务不足人群的就医机会,提供了持续且高质量的初级保健服务,并减少了对急诊科和医院等成本更高的医疗服务提供者的使用。卫生中心模式为患者、社区、保险公司和政府带来了巨大益处。