Health Extension in New Mexico: An Academic Health Center and the Social Determinants of Disease
Health Extension in New Mexico: An Academic Health Center and the Social Determinants of Disease
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DOI：
10.1370/afm.1077
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发表时间：
2010-01-01
影响因子：
4.4
通讯作者：
Scott, Amy
中科院分区：
文献类型：
--
作者：
Kaufman, Arthur;Powell, Wayne;Scott, Amy
农业合作推广服务模式为学术卫生中心提供了社区参与的方法，可以解决疾病的社会决定因素。新墨西哥州大学健康科学中心开发了健康推广农村办事处（HERO）作为其健康推广模式的工具。健康推广代理位于全州的农村社区，并得到区域协调员和健康科学中心社区健康副总裁办公室的支持。代理人的作用是与社会各界合作，确定高度优先的健康需求，并将这些需求与大学在教育、临床服务和研究方面的资源联系起来。社区需求、干预措施和结果由县卫生报告卡监测。健康科学中心是一个庞大而多样的资源，其广度和可访问性大多是未知的社区。社区健康需求各不相同，代理商能够利用现有的一系列健康中心资源来满足这些需求。通过解决疾病的基本社会决定因素，如在校率、粮食不安全和地方经济发展，代理人服务于超越直接、严格的医疗需求的更广泛的目的。发展当地能力以满足当地需要已成为压倒一切的关切。以社区为基础的健康推广机构可以有效地将这些需求与学术健康中心资源联系起来，并将这些资源扩展到解决疾病的潜在社会决定因素。
The Agricultural Cooperative Extension Service model offers academic health centers methodologies for community engagement that can address the social determinants of disease. The University of New Mexico Health Sciences Center developed Health Extension Rural Offices (HEROs) as a vehicle for its model of health extension. Health extension agents are located in rural communities across the state and are supported by regional coordinators and the Office of the Vice President for Community Health at the Health Sciences Center. The role of agents is to work with different sectors of the community in identifying high-priority health needs and linking those needs with university resources in education, clinical service and research. Community needs, interventions, and outcomes are monitored by county health report cards. The Health Sciences Center is a large and varied resource, the breadth and accessibility of which are mostly unknown to communities. Community health needs vary, and agents are able to tap into an array of existing health center resources to address those needs. Agents serve a broader purpose beyond immediate, strictly medical needs by addressing underlying social determinants of disease, such as school retention, food insecurity, and local economic development. Developing local capacity to address local needs has become an overriding concern. Community-based health extension agents can effectively bridge those needs with academic health center resources and extend those resources to address the underlying social determinants of disease.