Department of Family Medicine, State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Primary Care Research Institute, Buffalo, NY 14203, USA.
J Am Board Fam Med. 2013 May-Jun;26(3):232-8. doi: 10.3122/jabfm.2013.03.130102.
Communities of solution (COSs) are the key principle for improving population health. The 1967 Folsom Report explains that the COS concept arose from the recognition that complex political and administrative structures often hinder problem solving by creating barriers to communication and compromise. A 2012 reexamination of the Folsom Report resurrects the idea of the COS and presents 13 grand challenges that define the critical links among community, public health, and primary care and call for ongoing demonstrations of COSs grounded in patient-centered care. In this issue, examples of COSs from around the country demonstrate core principles and propose visions of the future. Essential themes of each COS are the crossing of "jurisdictional boundaries," community-led or -oriented initiatives, measurement of outcomes, and creating durable connections with public health.
解决方案社区（COSs）是改善人口健康的关键原则。1967 年的福尔斯报告解释说，COS 概念的出现是因为人们认识到，复杂的政治和行政结构往往会通过阻碍沟通和妥协来制造障碍，从而阻碍问题的解决。2012 年对福尔斯报告的重新审查复活了 COS 的概念，并提出了 13 项重大挑战，这些挑战定义了社区、公共卫生和初级保健之间的关键联系，并呼吁持续展示以患者为中心的护理为基础的 COS。在本期中，来自全国各地的 COS 示例展示了核心原则，并提出了未来的愿景。每个 COS 的基本主题是跨越“管辖边界”、社区主导或面向社区的举措、结果衡量以及与公共卫生建立持久联系。
