Fagnan Lyle J
From the Oregon Rural Practice-based Research Network and the Department of Family Medicine, Oregon Health & Science University, Portland.
J Am Board Fam Med. 2017 Jan 2;30(1):10-12. doi: 10.3122/jabfm.2017.01.160355.
Health extension programs represent an opportunity for practice-based research networks (PBRNs) and primary care practices to develop collaborations reaching beyond the clinic walls to address the upstream social determinants of health and engage in community-based research. The Health Extension Regional Officers (HEROs) program at the University of New Mexico described in this issue of the JABFM is an innovative model with a bidirectional approach to linking academic health centers to community-based practices and organizations. Health extension programs are local, influenced by history, relationships, and support. Oregon's health extension workforce represents a diverse group that includes practice facilitators, community health workers, and Cooperative Extension agents. PBRNs are measuring success in terms of collaboration across a spectrum of health activities. The Oregon Rural Practice-based Research Network uses a "Four Pillars" model of community engagement, practice transformation, research, and education to involve researchers, health policy experts, educators, and health extension workers to improve community health.
健康推广项目为基于实践的研究网络（PBRNs）和初级保健机构提供了一个机会，使其能够开展超越诊所范围的合作，以解决健康的上游社会决定因素，并参与基于社区的研究。本期《家庭医学杂志》（JABFM）中描述的新墨西哥大学的健康推广区域官员（HEROs）项目是一种创新模式，采用双向方法将学术健康中心与基于社区的机构和组织联系起来。健康推广项目是本地化的，受历史、关系和支持的影响。俄勒冈州的健康推广人员队伍构成多样，包括实践促进者、社区卫生工作者和合作推广人员。PBRNs正在从一系列健康活动的合作方面衡量成功与否。俄勒冈农村基于实践的研究网络采用社区参与、实践转型、研究和教育的“四大支柱”模式，让研究人员、健康政策专家、教育工作者和健康推广人员参与进来，以改善社区健康。
