Greenwood-Ericksen Margaret B, Tipirneni Renuka, Abir Mahshid
Department of Emergency Medicine, University of Michigan, Ann Arbor, MI; National Clinician Scholars Program, University of Michigan, Ann Arbor, MI; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI; Ann Arbor Veterans Affairs, Ann Arbor, MI.
Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI.
Ann Emerg Med. 2017 Nov;70(5):640-647. doi: 10.1016/j.annemergmed.2017.06.025. Epub 2017 Aug 9.
The health of rural America is failing and our traditional approaches have proved ineffective at improving health in rural communities. Rural populations are now a health disparity population, facing higher mortality rates for the 5 leading causes of death compared with their urban counterparts. We must generate novel, rural-specific approaches to solve this challenge-and there is a clear role for the field of emergency medicine. Building on emergency departments' (EDs') expanding role in health care delivery and emergency medicine's increasing involvement in population health, we propose a new health care delivery model for rural population health based on partnership between emergency medicine and primary care that embraces the important role that EDs play in rural areas.
美国农村地区的健康状况正在恶化，我们的传统方法已被证明在改善农村社区健康方面无效。农村人口现在是健康状况存在差异的群体，与城市人口相比，在五大主要死因方面面临更高的死亡率。我们必须提出新颖的、针对农村地区的方法来应对这一挑战——急诊医学领域能发挥明确作用。基于急诊科在医疗服务提供方面不断扩大的作用以及急诊医学对人群健康的参与度不断提高，我们提出一种基于急诊医学与初级保健之间合作关系的新型农村人口健康医疗服务模式，该模式认可急诊科在农村地区所发挥的重要作用。
