Buckley Ellen, Vu Tamara, Remedios Louisa
Department of Physiotherapy, BPhysio(Hons), School of Health Sciences, The University of Melbourne, Melbourne, Parkville, Victoria, Australia.
Educ Health (Abingdon). 2014 Jan-Apr;27(1):93-8. doi: 10.4103/1357-6283.134360.
REACH (Realising Education and Access in Collaborative Health) is an initiative of students of the University of Melbourne to improve access to primary health care services. It is driven by the voluntary commitment of over 120 students and is built upon the principles of collaboration, interprofessionalism and client-centered care. Summary of work: The feasibility of student-led clinics has been demonstrated with the operation of over 100 such clinics in North America. Senior students from Medicine, Physiotherapy, Nursing and Social Work attended a student-run clinics conference in Jacksonville, Florida, USA in 2010. On return, research was conducted to identify a local underserviced community appropriate for a clinic. On review of the literature, it was determined an interprofessional model of care would best serve this community. The student body engaged a local community health service as a project partner. The model of care at the REACH Clinic was developed by senior students from the schools of Medicine, Physiotherapy, Nursing and Social Work and managed by an interconnected student committee structure. The final consultation model involves a triage process and simultaneous consultation by two disciplines. This model of care was successfully implemented during a 4-week pilot period in October 2011.
Several issues were identified during the REACH pilot, with dissonance between the at-times competing principles in health care of interprofessionalism, client-centered care and efficient care.
An interprofessional model of care was developed and successfully implemented in a 4-week pilot student-run clinic within an established community health service. While providing a free health service, this model facilitated interprofessional learning at both a clinical and management level and highlighted logistical and ideological challenges that served as the basis for further refinement of this model of community service .
REACH（协作健康中的教育与服务实现）是墨尔本大学学生发起的一项倡议，旨在改善初级医疗保健服务的可及性。它由120多名学生的自愿承诺推动，基于协作、跨专业主义和以客户为中心的护理原则。工作概述：学生主导的诊所的可行性已通过北美100多家此类诊所的运营得到证明。来自医学、物理治疗、护理和社会工作专业的高年级学生于2010年参加了在美国佛罗里达州杰克逊维尔举行的学生运营诊所会议。回国后，开展了研究以确定适合开设诊所的当地服务不足社区。在查阅文献后，确定跨专业护理模式最适合该社区。学生团体聘请了当地社区卫生服务机构作为项目合作伙伴。REACH诊所的护理模式由医学、物理治疗、护理和社会工作学院的高年级学生制定，并由相互关联的学生委员会结构管理。最终的咨询模式包括一个分诊过程和两个学科同时进行咨询。这种护理模式于2011年10月在为期4周的试点期间成功实施。
在REACH试点期间发现了几个问题，跨专业主义、以客户为中心的护理和高效护理等医疗保健中有时相互竞争的原则之间存在不一致。
开发了一种跨专业护理模式，并在一家成熟的社区卫生服务机构内的为期4周的试点学生运营诊所中成功实施。在提供免费医疗服务的同时，该模式促进了临床和管理层面的跨专业学习，并突出了后勤和观念方面的挑战，这些挑战成为进一步完善这种社区服务模式的基础。
