Weiler P G, Clawson D K
J Med Educ. 1979 Mar;54(3):217-23. doi: 10.1097/00001888-197903000-00003.
For some time there has been concern regarding the future and relevance of both public health departments and departments of community medicine. Problems have developed as to how these agencies can be in the main stream of the health delivery system and maintain quality in service, research, and teaching. In this paper the authors describe an experimental health care delivery and teaching model, the health-department/medical-school affiliation. They analyze the conceptual basis for the affiliation and discuss the critical items in the affiliation agreement in the belief that such an arrangement could have an impact comparable with that which the medical-school/teaching-hospital affiliation had 40 years ago. The options opened by the new affiliation should serve to release the full potential of community medicine and public health in the United States.
一段时间以来，人们一直对公共卫生部门和社区医学部门的未来及相关性表示担忧。关于这些机构如何能够融入医疗服务体系的主流并在服务、研究和教学方面保持质量，出现了一些问题。在本文中，作者描述了一种实验性的医疗服务和教学模式，即卫生部门与医学院校的附属关系。他们分析了这种附属关系的概念基础，并讨论了附属协议中的关键条款，认为这样的安排可能会产生与40年前医学院校与教学医院的附属关系相当的影响。新的附属关系所带来的选择应有助于释放美国社区医学和公共卫生的全部潜力。
