Shi Leiyu, Collins Patricia B
Department of Health Policy and Management, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland, USA.
Organ Ethic. 2007 Spring-Summer;4(1):35-42.
Community health centers have provided high quality, cost-effective primary healthcare to underserved populations for over four decades. From the beginning, collaboration has been a central component of the community health center model of care. This article begins with an overview of community health center achievements and the drive for increased private-public partnerships in public health. The historic and current role of public-private partnerships within community health centers is described, with a particular focus on the Bureau of Primary Health Care initiatives (that is, the Health Disparities Collaborative and the Healthy Communities Access Program). Community health centers' establishment of partnerships in response to Hurricane Katrina and Medicare Part D is discussed. Finally, this article considers the continuing role of community health center public-private partnerships in the context of political and healthcare market shifts.
四十多年来，社区卫生中心一直为服务不足的人群提供高质量、具有成本效益的初级医疗保健服务。从一开始，合作就是社区卫生中心护理模式的核心组成部分。本文首先概述了社区卫生中心的成就以及推动公共卫生领域公私合作关系增加的动力。描述了社区卫生中心内公私合作关系的历史和当前作用，特别关注初级卫生保健局的举措（即健康差异协作项目和健康社区准入计划）。讨论了社区卫生中心为应对卡特里娜飓风和医疗保险D部分而建立的伙伴关系。最后，本文探讨了在政治和医疗市场转变的背景下，社区卫生中心公私合作关系的持续作用。
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