Barilla Dora, Shah Huma, Rawson Rick
Community Health Investment, Providence St. Joseph Health, Renton, WA 98057, USA.
Loma Linda University School of Public Health , Loma Linda, CA 92354, USA.
J Healthc Leadersh. 2019 Jun 17;11:81-85. doi: 10.2147/JHL.S200952. eCollection 2019.
Health care in the United States is going through significant changes and is at the forefront of the political landscape. While the health care debate rages on, leaders need to forge ahead and continue to work towards population-based health care and investing in their communities in a fiscally conscious way. Many innovations are happening but more needs to be done, especially in upstream services improving the health of the community. Research shows that investing in social care services and community-based investments results in lower health care expenditures and better health outcomes. Efforts should be placed on exploring a blended medical/social model of care while considering blended funding sources wherein the community needs to be active participants in this explorative process.
美国的医疗保健正在经历重大变革,处于政治格局的前沿。虽然医疗保健辩论激烈进行,但领导者需要奋勇向前,继续努力实现基于人群的医疗保健,并以财政上审慎的方式对其社区进行投资。许多创新正在发生,但仍有更多工作要做,特别是在改善社区健康的上游服务方面。研究表明,对社会护理服务和基于社区的投资能够降低医疗保健支出并带来更好的健康结果。应致力于探索医疗/社会混合护理模式,同时考虑混合资金来源,在此过程中社区需要成为积极参与者。