Department of Family and Community Medicine, University of California, San Francisco, California
Ann Fam Med. 2019 Jan;17(1):82-84. doi: 10.1370/afm.2335.
Before entering medicine, I was inspired by community organizing as a model for driving social change and improving public health. As a clinician, I remain inspired by this approach; however, I find that it has been more challenging to integrate into my day-to-day work than I expected. In this essay, I describe my journey from community organizer to primary care clinician and reflect on the lessons I've learned about the value of community organizing and ways that it can be incorporated into clinical practice. Ultimately, I propose a model for how clinicians and health centers can proactively partner with community organizing groups and facilitate referrals to help patients directly engage in transforming the root causes of their health challenges. This model shifts the focus from the patient as an individual agent of change to the community, and offers important lessons to clinicians interested in community health equity.
在进入医学领域之前，我受到社区组织的启发，将其作为推动社会变革和改善公共卫生的模式。作为一名临床医生，我仍然受到这种方法的鼓舞；然而，我发现将其融入我的日常工作比我预期的更具挑战性。在本文中，我描述了我从社区组织者到初级保健临床医生的转变历程，并反思了我从中学到的关于社区组织的价值以及将其融入临床实践的方法的经验教训。最终，我提出了一个临床医生和健康中心如何与社区组织团体积极合作并促进转介的模式，以帮助患者直接参与改变他们健康挑战的根本原因。这种模式将重点从作为变革个体代理人的患者转移到社区，为关注社区健康公平的临床医生提供了重要的经验教训。
