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与公民合作改革威斯康星州医疗保健:公民大会第二次会议报告

Partnering with citizens to reform Wisconsin health care: a report of Citizen Congress II.

作者信息

Jensen Norman, Suchman Anthony, Dart Richard

机构信息

University of Wisconsin in Madison, USA.

出版信息

WMJ. 2006 May;105(3):41-4.

PMID:16749324
Abstract

INTRODUCTION

Commissioned by the Wisconsin Medical Society in 2003, the Wisconsin Citizen Congress project aims to get at least 5000 physicians and 100,000 citizens in a partnership for health and health care improvement in Wisconsin. The power of activated citizens and a citizen-physician partnership is one of few hopeful answers to current policy failures in health care. Citizen Congress II aimed to validate and extend the results of Citizen Congress I.

METHODS

Citizens and physicians were recruited locally, aiming for an optimally-sized group that reasonably represented the diverse people and regions of Wisconsin. A weekend of dialogue with expert facilitators used state-of-the-art methods and sought common goals and a plan of action for health care policy improvement in Wisconsin.

RESULTS

Fifteen hours of dialogue validated the results of Citizen Congress I by producing trusting and high-energy dialogue and very similar characteristics of ideal health and health care. As progress from Congress I, advocacy opportunities for local and state health policy improvement were explored and written plans produced. There was strong support for continuing Congress work, aiming toward a strong and focused advocacy group.

CONCLUSION

Citizen-physician dialogue and partnership is a hopeful innovation in the area of health policy and community health improvement. Its power comes from a partnership of organized voters and organized medicine. It has the potential to promote change longed for by many. It is strongly consistent with the quality and access initiatives of the new Wisconsin Medical Society strategic plan.

摘要

引言

威斯康星公民大会项目于2003年受威斯康星医学协会委托开展,旨在让至少5000名医生和10万名公民结成伙伴关系,以改善威斯康星州的健康状况和医疗保健服务。积极参与的公民以及公民与医生的伙伴关系所产生的力量,是应对当前医疗保健政策失败问题为数不多的充满希望的答案之一。公民大会二期旨在验证并拓展公民大会一期的成果。

方法

在当地招募公民和医生,目标是组建一个规模适度、能合理代表威斯康星州不同人群和地区的团体。通过与专业引导者进行为期一周末的对话,运用先进方法,寻求共同目标以及改善威斯康星州医疗保健政策的行动计划。

结果

15个小时的对话通过产生相互信任且充满活力的对话以及与理想健康和医疗保健非常相似的特征,验证了公民大会一期的成果。作为对大会一期成果的推进,探讨了改善地方和州医疗政策的宣传机会,并制定了书面计划。各方强烈支持继续开展公民大会的工作,目标是打造一个强大且专注的宣传团体。

结论

公民与医生之间的对话和伙伴关系是健康政策和社区健康改善领域一项充满希望的创新举措。其力量源自有组织的选民和有组织的医学界结成的伙伴关系。它有潜力推动许多人所期望的变革。它与新的威斯康星医学协会战略计划中的质量和可及性倡议高度一致。

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