From the Division of Primary Care & Population Health, Stanford University School of Medicine, Stanford, California (NKT, MM, BS, SC, SMA, JGS); Roots Community Health Center, Oakland, California (NKT, NA); Stanford Health Care, Stanford, California (TS-M); Center for Innovation to Implementation, VA Palo Alto Health Care System, Palo Alto, California (SMA); Ravenswood Family Health Center, East Palo Alto, California (JGS).
J Am Board Fam Med. 2021 Feb;34(Suppl):S229-S232. doi: 10.3122/jabfm.2021.S1.200182.
The threat to the public health of the United States from the COVID-19 pandemic is causing rapid, unprecedented shifts in the health care landscape. Community health centers serve the patient populations most vulnerable to the disease yet often have inadequate resources to combat it. Academic medical centers do not always have the community connections needed for the most effective population health approaches. We describe how a bridge between a community health center partner (Roots Community Health Center) and a large academic medical center (Stanford Medicine) brought complementary strengths together to address the regional public health crisis. The 2 institutions began the crisis with an overlapping clinical and research faculty member (NKT). Building on that foundation, we worked in 3 areas. First, we partnered to reach underserved populations with the academic center's newly developed COVID test. Second, we developed and distributed evidence-based resources to these same communities via a large community health navigator team. Third, as telemedicine became the norm for medical consultation, the 2 institutions began to research how reducing the digital divide could help improve access to care. We continue to think about how best to create enduring partnerships forged through ongoing deeper relationships beyond the pandemic.
美国的 COVID-19 大流行对公众健康构成威胁,导致医疗保健领域迅速发生前所未有的变化。社区卫生中心服务于最容易感染疾病的患者群体,但通常缺乏应对疾病的足够资源。学术医疗中心并不总是拥有最有效的人群健康方法所需的社区联系。我们描述了一个社区卫生中心合作伙伴(Roots 社区卫生中心)和一个大型学术医疗中心(斯坦福医学)之间的桥梁如何汇集互补优势,共同应对区域公共卫生危机。这两个机构从一个重叠的临床和研究教员(NKT)开始应对这场危机。在此基础上,我们在三个领域开展工作。首先,我们合作利用学术中心新开发的 COVID 测试为服务不足的人群提供服务。其次,我们通过一个大型社区健康导航员团队向这些相同的社区开发和分发基于证据的资源。第三,随着远程医疗成为医疗咨询的常态,这两个机构开始研究如何减少数字鸿沟,以帮助改善获得医疗服务的机会。我们一直在思考如何通过大流行之外的持续深入关系,最好地建立持久的伙伴关系。