Kaufman A, Galbraith P, Alfero C, Urbina C, Derksen D, Wiese W, Contreras R, Kalishman N
Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque 87131, USA.
Acad Med. 1996 May;71(5):432-40. doi: 10.1097/00001888-199605000-00010.
Fostering the health of communities can serve as a unifying mission of the academic health center (AHC), which can set the AHC apart from other health providers in the community. To achieve this mission, the University of New Mexico's AHC is increasingly focusing education, research, and service upon the identified health and service needs of communities in its state. Since major health problems in our society have social, behavioral, and economic roots, New Mexico's AHC has tapped into the broad expertise of its different components as well as that of its state and community partners to adequately address health problems in the community. Its hospitals offer financing and management resources, its colleges offer innovative approaches to community-based education, and the state department of health offers expertise in health policy development. To adequately respond to the complexity of community health needs, the different colleges and departments at New Mexico's AHC are increasingly merging into integrated governance units. Measures of community outreach success include evidence of strengthened community development, increased health care access, and improved indices of community health. New Mexico's AHC formed an interdisciplinary rural outreach task force, which has demonstrated its ability to form partnerships with state and local agencies and to mobilize institutional resources in education, research, and service from the AHC's different departments, colleges, and hospitals to respond promptly to unique community health needs. Evidence shows that such an integrated, coordinated AHC intervention can generate strong and lasting AHC-community alliances, improve the quality and economic viability of community health systems, and enhance the financial resources of the AHC.
促进社区健康可成为学术健康中心（AHC）的一项统一使命，这能使AHC在社区中的其他医疗服务提供者中脱颖而出。为实现这一使命，新墨西哥大学的AHC越来越多地将教育、研究和服务聚焦于该州社区已确定的健康和服务需求。由于我们社会中的主要健康问题具有社会、行为和经济根源，新墨西哥大学的AHC利用其不同组成部分以及该州和社区合作伙伴的广泛专业知识，以充分解决社区中的健康问题。其医院提供融资和管理资源，其学院提供基于社区教育的创新方法，而该州卫生部则提供健康政策制定方面的专业知识。为充分应对社区健康需求的复杂性，新墨西哥大学AHC的不同学院和部门正日益合并为综合管理单位。社区外展成功的衡量标准包括社区发展得到加强、医疗保健可及性增加以及社区健康指标得到改善的证据。新墨西哥大学的AHC组建了一个跨学科农村外展特别工作组，该工作组已证明其有能力与州和地方机构建立伙伴关系，并调动AHC不同部门、学院和医院在教育、研究和服务方面的机构资源，以迅速应对独特的社区健康需求。有证据表明，这种综合、协调的AHC干预能够建立强大而持久的AHC与社区联盟，提高社区卫生系统的质量和经济可行性，并增加AHC的财政资源。
