Whelan E M
School of Nursing, University of Pennsylvania.
Public Health Rep. 1995 Mar-Apr;110(2):184-8.
America spends more than $700 billion per year on a health care system that is unparalleled in the technological advances it produces, yet many Americans do not receive the basic health care they need. Access to obtaining these health services can be affected by economic, structural, or personal barriers. This paper describes a primary health care delivery that addresses the specific health concerns of a neighborhood. The model forges a partnership with the community while developing collaborative relationships with area health providers. Targeted health services are offered in a community-based, nurse-managed site. Clients receive the basic health services they need, local providers expand their client base with "satellite locations," and the major medical institutions receive more appropriate referrals and have less unnecessary use of the emergency rooms.
美国每年在医疗保健系统上花费超过7000亿美元，该系统在其产生的技术进步方面无与伦比，但许多美国人却得不到他们所需的基本医疗保健。获得这些医疗服务可能会受到经济、结构或个人障碍的影响。本文描述了一种针对社区特定健康问题的初级医疗保健服务。该模式在与社区建立伙伴关系的同时，与地区医疗服务提供者发展合作关系。在一个以社区为基础、由护士管理的场所提供有针对性的健康服务。客户获得他们所需的基本医疗服务，当地医疗服务提供者通过“卫星地点”扩大其客户群，主要医疗机构收到更合适的转诊，且急诊室的不必要使用减少。
