Advanced Primary Care in San Antonio: Linking Practice and Community Strategies to Improve Health
| Autor: | Robert L. Ferrer, Carolina Gonzalez Schlenker, Oralia V. Bazaldua, Bryan Alsip, Martha Castilla, Carlos Roberto Jaén, Melissa Ann Gonzales, Betty A Corona, Raquel L. Romero, James W. Tysinger, Ramin Shokati Poursani, Jonathan Trejo, Janie DeHoyos, Dewayne A. Davidson |
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| Rok vydání: | 2013 |
| Předmět: |
Social Work
medicine.medical_specialty Population Uncompensated Care Health Promotion Public-Private Sector Partnerships Health Services Accessibility Nursing Health care medicine Health Status Indicators Humans Community Health Services Social determinants of health education Health policy Patient Care Team Health Services Needs and Demand HRHIS education.field_of_study Primary Health Care Poverty Delivery of Health Care Integrated business.industry Public health Public Health Environmental and Occupational Health Internship and Residency International health Texas Outcome and Process Assessment Health Care Family medicine Health Resources Comprehensive Health Care Public Health Family Practice business Delivery of Health Care |
| Zdroj: | The Journal of the American Board of Family Medicine. 26:288-298 |
| ISSN: | 1558-7118 1557-2625 |
| DOI: | 10.3122/jabfm.2013.03.120238 |
| Popis: | Improving health among people living in poverty often transcends narrowly focused illness care. Meaningful success is unlikely without confronting the complex social origins of illness. We describe an emerging community of solution to improve health outcomes for a population of 6000 San Antonio, Texas, residents enrolled in a county health care program. The community of solution comprises a county health system, a family medicine residency program, a metropolitan public health department, and local nonprofit organizations and businesses. Community-based activities responding to the needs of individuals and their neighborhoods are driven by a cohort of promotores (community health workers) whose mission encompasses change at both the individual and community levels. Centered on patients' functional goals, promotores mobilize family and community resources and consider what community-level action will address the social determinants of health. On the clinical side, care teams implement population-based risk assessment and nurse care management with a focus on care transitions as well as other measures to meet the needs of patients with high morbidity and high use of health care. Population-based outcome metrics include reductions in hospitalizations, emergency department and urgent care visits, and the associated charges. Promotores also assess patients' progress along the trajectory of their selected functional goals. |
| Databáze: | OpenAIRE |
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