Sherman Samuel R.
Calif Med. 1967 Jun;106(6):501-5.
The subject of this Socio-Economic Report is of tremendous importance to the medical profession because physicians should be aware that future programs for the expansion of health care services will be based and, in fact, are being based upon information which this Report contains. The relationship between poverty and accessibility of health care services is therefore quite direct. So, too, will be the impact upon the profession and the organization of medical practice. The 1966 amendments to the Poverty Act are concerned with neighborhood health centers and a vast array of other programs which will touch every physician and every community which can be identified by the standards indicated in this Report as low income, poor, or near poor. For this reason the California Medical Association Committee on Welfare Medical Programs, among several others concerned with aspects of this problem, is trying to alert every county medical society of developments as well as of the responsibilities they should assume in working with the Office of Economic Opportunity and other community organizations in providing guidance and leadership in structuring programs compatible with the interests of the public and the health care professions. This Report on poverty presents a current and prospective view of the problems and issues to be faced. Unless physicians see the relationship and join in a community effort to aid in resolving an issue which underlies public policy, we shall be looking back five or ten years from now to point out that we failed to take advantage of opportunities to assist in the development of a rational system of medical care for low-income groups. Individual physicians, component medical societies on a grass-roots level and CMA as a state organization should all be concerned with and aware of the facts.
这份社会经济报告的主题对医学界极为重要,因为医生应该意识到,未来扩大医疗服务的计划将基于且实际上正在基于本报告所包含的信息。因此,贫困与医疗服务可及性之间的关系相当直接。这对医学专业及其医疗实践组织的影响也将如此。1966年对《贫困法》的修正案涉及社区健康中心以及大量其他项目,这些项目将涉及每一位医生以及每一个根据本报告所指明的标准可认定为低收入、贫困或接近贫困的社区。出于这个原因,加利福尼亚医学协会福利医疗项目委员会,与其他几个关注该问题各个方面的委员会一样,正试图提醒每个县医学协会关注相关进展以及它们在与经济机会办公室和其他社区组织合作时应承担的责任,以便在构建符合公众和医疗行业利益的项目方面提供指导和引领。这份关于贫困的报告呈现了当前及未来将要面对的问题和议题。除非医生认识到这种关系并参与社区努力以协助解决作为公共政策基础的问题,否则从现在起五年或十年后我们回顾时将会指出,我们未能利用机会协助为低收入群体发展合理的医疗体系。个体医生、基层的医学分会以及作为州组织的加利福尼亚医学协会都应该关注并了解这些事实。