Johns Hopkins University School of Medicine (JHU SOM), Baltimore, MD, USA.
UT Southwestern School of Medicine, Dallas, TX, USA.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241266121. doi: 10.1177/21501319241266121.
Academic Medical Centers (AMCs) and Federally Qualified Health Centers (FQHCs) are similarly tasked with managing the health of their local community, yet they each face unique challenges in their ability to do so. Integrating AMCs and FQHCs into novel care delivery models can leverage both organizations strengths, providing care in a comprehensive and sustainable fashion. Johns Hopkins Medicine (JHM) implemented this model with a large East Baltimore medical center, creating an AMC-FQHC collaboration focused on providing care to the East Baltimore patient population. This system provided various improvements in care delivery, including increased staffing, new wraparound services, improved access to funding dollars, and decreased out of pocket costs for patients qualifying for financial assistance. The academic missions of research and training were preserved, serving as the primary continuity clinic for several residency programs and as a community site for research. These changes resulted in more robust care for patients while improving the financial standing of the clinic. Through AMC and FQHC partnership, progress can be made toward providing holistic and financially sustainable primary care services in underserved areas while preserving the tripartite mission of academic medicine, with significant pedagogical and research opportunities.
学术医疗中心 (AMC) 和合格的联邦健康中心 (FQHC) 同样负责管理当地社区的健康，但它们在实现这一目标的能力方面都面临着独特的挑战。将 AMC 和 FQHC 整合到新的医疗服务模式中可以利用这两个组织的优势，以全面和可持续的方式提供医疗服务。约翰霍普金斯医学 (JHM) 在巴尔的摩东部的一个大型医疗中心实施了这一模式，创建了一个 AMC-FQHC 合作关系，专注于为巴尔的摩东部的患者群体提供医疗服务。该系统在医疗服务提供方面提供了各种改进，包括增加人员配备、新的综合性服务、增加获得资金的机会，以及为有经济援助资格的患者降低自付费用。研究和培训的学术使命得以保留，为几个住院医师培训项目提供了主要的连续性诊所服务，并成为社区的研究场所。这些变化为患者提供了更完善的医疗服务，同时改善了诊所的财务状况。通过 AMC 和 FQHC 合作，可以在服务不足的地区提供整体和经济可持续的初级保健服务方面取得进展，同时保留学术医学的三方使命，并提供重要的教学和研究机会。
