From the Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC (AJV, JB, MC, CE, BH, ML, VM-B, JR, KR, KS, GW, HS, JV, NW, JLM).
J Am Board Fam Med. 2021 Sep-Oct;34(5):1003-1009. doi: 10.3122/jabfm.2021.05.210091.
The Coronavirus disease 2019 (COVID-19) pandemic forced not only rapid changes in how clinical care and educational programs are delivered but also challenged academic medical centers (AMCs) like never before. The pandemic made clear the need to have coordinated action based on shared data and shared resources to meet the needs of patients, learners, and communities. Family medicine departments across the country have been key partners in AMCs' responses. The Duke Department of Family Medicine and Community Health (FMCH) was involved in many aspects of Duke University's and Health System's responses, including leadership contributions in delivering employee health and student health services. The pandemic also surfaced the biological and social interactions that reveal underlying socioeconomic inequalities, for which family medicine has advocated since its inception. Key to success was the department's ability to integrate "horizontally" with the broader community, thereby accelerating the institution's response to the pandemic.
2019 年冠状病毒病(COVID-19)大流行不仅迫使临床护理和教育计划的提供方式迅速发生变化,而且还前所未有地挑战了学术医疗中心(AMC)。大流行清楚地表明,需要基于共享数据和共享资源采取协调行动,以满足患者、学习者和社区的需求。全国各地的家庭医学部门一直是 AMC 应对措施的关键合作伙伴。杜克大学家庭医学与社区健康系(FMCH)参与了杜克大学及其卫生系统应对措施的许多方面,包括在提供员工健康和学生健康服务方面的领导贡献。大流行还揭示了生物和社会相互作用,这些相互作用揭示了潜在的社会经济不平等,家庭医学自成立以来一直倡导解决这些不平等。成功的关键是该系与更广泛的社区“横向”整合的能力,从而加速了该机构对大流行的反应。