Dwyer Jeffrey W, Contreras Dawn, Eschbach Cheryl L, Tiret Holly, Newkirk Cathy, Carter Erin, Cronk Linda
J.W. Dwyer is director, Michigan State University Extension, professor, Department of Family Medicine, College of Human Medicine, and professor, Food Science and Human Nutrition, College of Agriculture and Natural Resources, Michigan State University, East Lansing, Michigan. D. Contreras is director, Health and Nutrition Institute, Michigan State University Extension, Michigan State University, East Lansing, Michigan. C.L. Eschbach is Extension specialist, Michigan State University Extension, Michigan State University, East Lansing, Michigan. H. Tiret is senior Extension educator, Michigan State University Extension, Michigan State University, Grand Rapids, Michigan. C. Newkirk is Extension educator, Michigan State University Extension, Michigan State University, Flint, Michigan. E. Carter is Extension educator, Michigan State University Extension, Michigan State University, Marquette, Michigan. L. Cronk is Extension educator, Michigan State University Extension, Michigan State University, Traverse City, Michigan.
Acad Med. 2017 Oct;92(10):1416-1420. doi: 10.1097/ACM.0000000000001640.
The Affordable Care Act charged the Agency for Healthcare Research and Quality to create the Primary Care Extension Program, but did not fund this effort. The idea to work through health extension agents to support health care delivery systems was based on the nationally known Cooperative Extension System (CES). Instead of creating new infrastructure in health care, the CES is an ideal vehicle for increasing health-related research and primary care delivery.
The CES, a long-standing component of the land-grant university system, features a sustained infrastructure for providing education to communities. The Michigan State University (MSU) Model of Health Extension offers another means of developing a National Primary Care Extension Program that is replicable in part because of the presence of the CES throughout the United States. A partnership between the MSU College of Human Medicine and MSU Extension formed in 2014, emphasizing the promotion and support of human health research. The MSU Model of Health Extension includes the following strategies: building partnerships, preparing MSU Extension educators for participation in research, increasing primary care patient referrals and enrollment in health programs, and exploring innovative funding.
Since the formation of the MSU Model of Health Extension, researchers and extension professionals have made 200+ connections, and grants have afforded savings in salary costs.
The MSU College of Human Medicine and MSU Extension partnership can serve as a model to promote health partnerships nationwide between CES services within land-grant universities and academic health centers or community-based medical schools.
《平价医疗法案》责成医疗保健研究与质量局创建初级保健推广计划，但未为这项工作提供资金。通过健康推广人员来支持医疗保健提供系统的想法是基于全国知名的合作推广系统（CES）。合作推广系统并非在医疗保健领域创建新的基础设施，而是增加与健康相关研究和初级保健服务的理想工具。
合作推广系统是赠地大学系统的一个长期组成部分，其特点是拥有为社区提供教育的持续基础设施。密歇根州立大学（MSU）健康推广模式提供了另一种发展全国初级保健推广计划的方法，该计划在一定程度上具有可复制性，这是因为合作推广系统在美国各地都有。2014年，密歇根州立大学人类医学院与密歇根州立大学推广部建立了合作伙伴关系，重点是促进和支持人类健康研究。密歇根州立大学健康推广模式包括以下策略：建立合作伙伴关系、让密歇根州立大学推广教育工作者参与研究、增加初级保健患者转诊和健康项目注册人数，以及探索创新资金来源。
自密歇根州立大学健康推广模式形成以来，研究人员和推广专业人员已建立了200多个联系，并且拨款节省了工资成本。
密歇根州立大学人类医学院与密歇根州立大学推广部的合作伙伴关系可作为一个典范，以促进赠地大学内的合作推广系统服务与学术健康中心或社区医学院之间在全国范围内建立健康合作伙伴关系。
