RURAL PRACTICE MODES
RURAL PRACTICE MODES
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DOI：
10.1097/00001888-199012000-00032
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发表时间：
1990-12-01
影响因子：
7.4
通讯作者：
HOLDEN, DM
中科院分区：
文献类型：
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作者：
HOLDEN, DM
单独执业是农村医疗服务的主导模式。与此同时，这是最有可能不成功的，因为单干医生选择离开农村社区。团体家庭实践是最稳定的农村实践形式，是可以接受的，并为寻求建立新实践的大多数家庭实践居民所寻求。成功的农村实践的特点包括集体实践、保留相同的卫生保健提供者三年以上、以社区为重点、整合非MD卫生保健提供者以及致力于在实践中进行教育。设有地区健康教育中心(AHEC)的学术医疗中心应考虑发展扩大的AHEC，以提供农村社区目前所需的教育、规划、咨询和专业知识。没有AHEC的学术医疗中心应该考虑建立农村卫生办公室，提供农村社区所需的教育、规划、咨询和专业知识。
Solo practice is the dominant mode of rural medical care delivery. At the same time, it is the most likely not to succeed, because the solo physician is choosing to leave the rural community. Group family practice is the most stable form of rural practice, is acceptable, and is sought by the majority of family practice residents seeking to establish new practices. Characteristics of successful rural practices include group practice, retention of the same health care providers for more than three years, a community-oriented focus, integration of non-MD health care providers, and a commitment to education within the practice. Academic medical centers with area health education centers (AHECs) should consider developing expanded AHECs to provide the education, planning, consultation, and expertise now needed by rural communities. Academic medical centers without AHECs should consider creating offices of rural health to provide the education, planning, consultation, and expertise needed in rural communities.