Group Health Cooperative Family Medicine Residency, Department of Family Medicine, University of Washington, Seattle, Washington, USA.
Ann Fam Med. 2009 Nov-Dec;7(6):488-94. doi: 10.1370/afm.1041.
Training family medicine residents in underserved settings, such as community health centers (CHCs), may provide a solution to the primary care workforce shortage. We sought to describe the facilitators and barriers to creating partnerships between CHCs and family medicine residencies (FMRs).
We conducted 19 key informant interviews and 3 focus groups to identify the key factors in the CHC-FMR relationship. Audiotapes and transcripts were analyzed to identify major themes. Key informant results were validated and expanded in the focus group discussions.
Four major themes describe the CHC-FMR training partnership: mission, money, quality, and administrative/governance complexity. The CHC-FMR training affiliation is a complex relationship drawn together by a shared mission of service to the underserved, enhanced financial stability, workforce improvement, and greater educational and clinical quality. The relationship is hindered by competing primary missions, chronic underfunding, complex governing institutional regulations, and administrative challenges. In addition, the focus groups offered several policy solutions to address the barriers to CHC-FMR affiliation.
A successful CHC-FMR training partnership relies upon the development of a shared mission of education and service, as well as innovation and flexibility by the organizations that govern them.
在社区卫生中心（CHC）等服务不足的环境中培训家庭医学住院医师，可能是解决初级保健劳动力短缺问题的一种方法。我们旨在描述 CHC 与家庭医学住院医师实习计划（FMR）之间建立合作伙伴关系的促进因素和障碍。
我们进行了 19 次关键知情人访谈和 3 次焦点小组讨论，以确定 CHC-FMR 关系中的关键因素。对录音带和文字记录进行了分析，以确定主要主题。关键知情人的结果在焦点小组讨论中得到了验证和扩展。
有四个主要主题描述了 CHC-FMR 培训合作伙伴关系：使命、资金、质量和行政/治理复杂性。CHC-FMR 培训合作关系是一种复杂的关系，由服务贫困人群的共同使命、增强的财务稳定性、劳动力改善以及更高的教育和临床质量联系在一起。这种关系受到竞争的主要任务、长期资金不足、复杂的管理机构法规以及行政挑战的阻碍。此外，焦点小组提出了一些政策解决方案来解决 CHC-FMR 合作的障碍。
成功的 CHC-FMR 培训合作伙伴关系依赖于教育和服务的共同使命的发展，以及管理它们的组织的创新和灵活性。
