社区卫生演变模型外文翻译(编辑修改稿)

社区卫生演变模型外文翻译(编辑修改稿)内容摘要：

aluation Department Fenway initiated one of the nation39。 s first munitybased AIDS research programs in 1983 and received its first state and federal funding in 1984. Fenway39。 s initial research endeavors derived from the need to better understand the AIDS epidemic that was emerging in the gay munity in the early 1980s. The first AIDS diagnosis among Fenway patients was made in 1981, and prospective epidemiological studies soon followed. The first estimates of HIV prevalence and incidence in New England were derived from Fenway studies. Close to 100 peerreviewed publications have been generated by Fenway39。 s collaborations with laboratory, clinical, behavioral, and public health researchers at Harvard, Tuffs, and Brown universities. Fenway has been a leader in HIV prevention research and was recently awarded a contract from the National Institute of Allergy and Infectious Diseases to serve as the primary agency for a consortium including investigators at Brown University and in southern India. The research and evaluation department consists of more than 30 highly trained and experienced staff, including physicians, a senior survey research methodologist and behavioral scientist, clinical psychologists, public health professionals, data analysts, regulatory affairs specialists, health educators, nurses, interviewers, and outreach workers. Fenway has an institutional review board, as well as several munity advisory boards that help the research and clinical programs staff evaluate the responsiveness of the current research agenda to munity needs and expectations. Along with its increased expertise in studying the health care concerns of men who have sex with men, Fenway has developed a lesbian health research agenda, mensurate with the expansion of clinical programs for women and reflecting the munity39。 s interest and support. Studies have ranged from the assessment of lesbians39。 access to care to a study of sexually transmitted diseases among lesbians to the evaluation of different techniques of alternative insemination. A recent study of health care access for sexual minority women used area probability sampling for parison with a randomdigitdialed telephone survey in the same geographic area Program Support and Sustainability Fenway Community Health started as a free clinic, supported partially through donations by clients and partially through subsidies from the city of Boston. Over the past 3 decades Fenway has bee a sophisticated muitidisciplinary center that is supported through a variety of sources, including patients39。 private insurance as well as Medicare and Medicaid for the payment of medical and mental health services (Figure 1). Other governmentsponsored programs are available for individuals who qualify for specific programs. There is still a free care pool, so that no individual is turned away because of an inability to pay. The health education, service evaluation, and research ponents of the health center are usually funded by fed。