Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
J Am Board Fam Med. 2013 May-Jun;26(3):311-5. doi: 10.3122/jabfm.2013.03.120236.
For 10 years the Medical College of Wisconsin and Columbia St. Mary's Hospital have joined together in a partnership to work within some of Milwaukee's most impoverished neighborhoods. Beginning simply by providing health care through a free clinic, the partnership soon was confronted with numerous examples of barriers to care being experienced by patients. A community-based participatory action process allowed the local population to give voice to the local realities of barriers to care. Here we combine our anecdotal clinical experience, the neighborhood's input, and an example of a successful program from a low-resource international setting to create a novel approach to treating chronic disease in uninsured populations. This model of care has been successful for 2 reasons. First, the model shows good health outcomes at low cost. Second, solid community partnerships with care providers, churches, and other groups have been formed in support of the model, ensuring its credibility and sustainability.
10 年来，威斯康星医学院和哥伦比亚圣玛丽医院一直携手合作，在密尔沃基最贫困的社区开展工作。该合作项目最初只是通过一家免费诊所提供医疗服务，但很快就发现患者在获得医疗服务方面面临着许多障碍。通过社区参与式行动过程，当地居民得以表达他们在获得医疗服务方面所面临的实际障碍。在这里，我们结合了我们的临床经验、社区的意见，以及来自资源匮乏的国际环境中的一个成功项目范例，为治疗无保险人群的慢性疾病创造了一种新方法。这种护理模式之所以成功，有两个原因。首先，该模式以低成本实现了良好的健康结果。其次，与医疗服务提供者、教堂和其他团体建立了坚实的社区伙伴关系，以支持该模式，确保其可信度和可持续性。
