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预防医学和公共卫生住院医师培训:联邦政策和宣传机会。

Preventive medicine and public health residency training: federal policy and advocacy opportunities.

机构信息

College of Nanoscale Science & Engineering, University at Albany, New York 12203, USA.

出版信息

J Public Health Manag Pract. 2009 Nov;15(6 Suppl):S33-9. doi: 10.1097/PHH.0b013e3181bdfd46.

DOI:10.1097/PHH.0b013e3181bdfd46
PMID:19829227
Abstract

BACKGROUND

Preventive medicine physicians are uniquely trained in both clinical medicine and public health to understand and reduce the risks of disease, disability, and death in individuals and populations. The nation is facing a severe shortage of preventive medicine-trained physicians, which is largely due to unstable and inadequate residency program funding.

METHODS

Several policy options have been explored and evaluated to fund preventive medicine residency training programs as part of a multipronged approach to engage physicians in the policy-making process.

RESULTS

The most adequate, sustainable, distributable, and politically feasible policy option was pursued, and a bill called the "Preventive Medicine and Public Health Training Act" was introduced into the House and the Senate.

CONCLUSIONS

Opportunities to participate in the policy-making process and interact with key legislators and stakeholders exist in a variety of ways. Leadership at the federal level helps preventive medicine and public health physicians recognize their vital role in shaping public policy.

摘要

背景

预防医学医生在临床医学和公共卫生方面都接受过专业培训,能够理解和降低个人和人群的疾病、残疾和死亡风险。目前,全国预防医学专业医生严重短缺,这主要是由于住院医师培训项目资金不稳定且不足。

方法

为了资助预防医学住院医师培训项目,已经探讨和评估了几种政策选择,作为参与医师参与决策过程的多管齐下方法的一部分。

结果

选择了最充分、可持续、可分配和最可行的政策选择,并向众议院和参议院提交了一项名为“预防医学和公共卫生培训法案”的法案。

结论

可以通过多种方式参与决策过程并与主要立法者和利益相关者互动。联邦一级的领导层有助于预防医学和公共卫生医生认识到他们在制定公共政策方面的重要作用。

相似文献

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Preventive medicine and public health residency training: federal policy and advocacy opportunities.预防医学和公共卫生住院医师培训:联邦政策和宣传机会。
J Public Health Manag Pract. 2009 Nov;15(6 Suppl):S33-9. doi: 10.1097/PHH.0b013e3181bdfd46.
2
Residency education, preventive medicine, and population health care improvement: the Dartmouth-Hitchcock Leadership Preventive Medicine approach.住院医师培训、预防医学与人群医疗保健改善:达特茅斯-希区柯克领导力预防医学方法
Acad Med. 2008 Apr;83(4):390-8. doi: 10.1097/ACM.0b013e3181667da9.
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Role of preventive medicine residencies in medical education: a national survey.预防医学住院医师在医学教育中的作用:一项全国性调查。
Am J Prev Med. 2011 Oct;41(4 Suppl 3):S290-5. doi: 10.1016/j.amepre.2011.06.021.
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Regaining the preventive medicine edge: training for 2000 and beyond.重拾预防医学优势:面向2000年及以后的培训
Am J Prev Med. 1991 May-Jun;7(3):183-7.
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Training physicians to care for the underserved: preventive medicine residency-community health center linkages.培训医生为医疗服务不足人群提供护理:预防医学住院医师培训与社区卫生中心的联系。
Am J Prev Med. 1996 May-Jun;12(3):156-60.
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Practicing preventive medicine: a national survey of general preventive medicine residency graduates--United States, 1991.从事预防医学工作:1991年美国普通预防医学住院医师培训毕业生全国性调查
Am J Prev Med. 1995 May-Jun;11(3):139-44.
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Residency training in preventive medicine: challenges and opportunities.预防医学住院医师培训:挑战与机遇
Am J Prev Med. 2005 May;28(4):403-12. doi: 10.1016/j.amepre.2005.01.014.
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Board certification among preventive medicine residency graduates: characteristics, advantages, and barriers.预防医学住院医师毕业生的委员会认证:特点、优势及障碍
Am J Prev Med. 1994 Sep-Oct;10(5):251-8.
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Preventive medicine residents: a national survey.预防医学住院医师:一项全国性调查。
Am J Prev Med. 1991 Nov-Dec;7(6):445-9.
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Funding and the mechanisms of change.资金与变革机制。
Manag Care. 2005 Sep;14(9 Suppl):8-9; discussion 13-20.

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