Clancy Gerard P
Dr. Clancy is professor, Department of Psychiatry, University of Oklahoma School of Community Medicine, and president, University of Oklahoma-Tulsa campus, Tulsa, Oklahoma.
Acad Med. 2015 Apr;90(4):418-20. doi: 10.1097/ACM.0000000000000520.
Market- and legislation-driven health reforms are being implemented across the United States. Within this time of great change for health care delivery systems and medical schools lie opportunities to address the country's long-standing health inequities by using community needs assessments, health information technologies, and new models for care and payment. In this Commentary, the author, a university regional campus leader, shares several difficult personal experiences to demonstrate that health equity work undertaken by academic institutions also requires institutional leaders to pay attention to and gain an understanding of issues that go beyond public health data. The author reflects on lessons learned and offers recommendations that may help academic health center and university leaders be more effective as they take on the complex tasks involved in improving health inequities. These include reflection on personal strengths and deficiencies, engagement with the community, recognition of the historical roots of health disparities, and the development of trusting relationships between the institution and the community.
美国正在推行由市场和立法驱动的医疗改革。在医疗服务体系和医学院发生巨大变革的这段时期，存在着通过社区需求评估、健康信息技术以及新的医疗与支付模式来解决该国长期存在的健康不平等问题的机会。在这篇评论文章中，一位大学区域校区负责人分享了几段艰难的个人经历，以表明学术机构开展的健康公平工作还要求机构领导者关注并理解超出公共卫生数据范畴的问题。作者反思了所吸取的经验教训，并提出了一些建议，这些建议可能有助于学术健康中心和大学领导者在承担改善健康不平等所涉及的复杂任务时更有成效。这些建议包括反思个人的优势与不足、与社区互动、认识健康差距的历史根源，以及在机构与社区之间建立信任关系。
