外文翻译---社区健康中心的初级护理(编辑修改稿)

外文翻译---社区健康中心的初级护理(编辑修改稿)内容摘要：

nd replenish the pipeline of primary care physicians. Because of the similarity between the Massachusetts 2020 Health Reform plan and the types of national reform most likely to be implemented, analysis of the recent Massachusetts experience is of great value in establishing national policy. A recently published report from the Kaiser Commission on Medicaid and the Uninsured . emphasizes the critical role of munity health centers in health care reform。 in Massachusetts in 2020, they served 1 out of every 13 residents. Health insurance expansion led to a great increase in the demand for primary health care, especially in medically underserved, lowine munities. Acmodating this increase in demand requires increased capacity. In that respect, a major problem encountered in Massachusetts was the shortage of qualified primary care providers, which was exacerbated by health care reform. Massachusetts was the first to experience this problem, although it could soon confront many states . Our proposal builds on more than 25 years of experience of family medicine residencies with munity health centers. Training family physicians in these sites helps increase the number of physicians caring for the underserved, enhances their recruitment of family physicians, and provides highquality education for family physicians . More than 42% of munity health centers already serve as training sites for primary care residency programs, yet most receive no funding to cover the cost of training . Our proposal adds several unique features to the family medicine model. First, it expands training to other primary care disciplines. It also incorporates the patientcentered medical home model of care, which is highly desirable for residency training for the new health care environment. Primary care resident training should be conducted in an ambulatory setting that represents the future of primary care and is attractive to future primary care residents and faculty. Teaching health centers also provide an ideal setting for residents to interact with advanced practice clinicians. The patientcentered medical home environment provides an excellent opportunity to improve skills in leadership, teamwork, patient education, and munication— all important ponents of resident education. Finally, our proposal introduces a new major source of financial support for training in munity health centers. Our proposal is directed toward aligning training for the primary care physician with the realities of 21stcentury practice. However, the contribu。