初级保健和公共卫生--对国家卫生安全和人口健康都至关重要。

IF 2.4 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of the American Board of Family Medicine Pub Date : 2024-11-01 DOI:10.3122/jabfm.2023.230377R1
Howard Haft, Luke Allen
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引用次数: 0

摘要

COVID-19 大流行是一次压力测试,它揭示了美国医疗保健服务体系基础的关键弱点,这些弱点如果得不到解决,最终将导致灾难性的人口健康后果。初级保健和公共卫生是这一基础中最脆弱、最重要的部分。其中任何一个学科的崩溃都会导致连环失灵,损害个人健康和国家健康安全。基层医疗和公共卫生作为健康安全和人口健康的基石,两者密不可分,因此迫切需要为两者提供充足的资金。在政策制定者就加强基层医疗或公共卫生资金的重要性进行辩论时,不妨考虑一下这些学科对确保国家健康的关键作用,以及它们相互补充的方式。对这两方面的资助为进一步整合打开了大门,可以在新生的协同作用的基础上,为整个医疗保健服务体系奠定更强大、更高效和更可持续的基础。每天,在世界的每一个角落,初级保健和公共卫生已经在许多方面相互依赖。然而,这种关系往往得不到正式承认。为了更好地理解这种密切关系,我们有必要首先介绍一下两者的核心组成部分。
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Primary Care and Public Health - Both Essential for National Health Security and Population Health.

The COVID-19 pandemic was a stress test that revealed critical weaknesses in the foundation of the US health care delivery system, which left unresolved will ultimately lead to catastrophic population health consequences. Primary care and public health are the most fragile and important parts of that foundation. Collapse of either of these disciplines would lead to cascading failures harming the health of individuals and the health security of the nation. Primary care and public health are inextricably entwined as the cornerstones of health security and population health, and there is an urgent need to adequately fund both.As policy makers debate the importance of enhanced funding for either primary care or public health it would be good to consider the ways in which these disciplines are critical to securing the health of the nation as well as the ways in which they complement one another. Funding for both opens the door for greater integration that could build on the nascent synergies resulting in even stronger, more efficient and more sustainable foundation for the overall health care delivery system. Every day and in every corner of the world primary care and public health are already relying on each other in many ways. However, this relationship most often functions without formal acknowledgment. To better understand this intimate relationship, it is useful to first describe the core components of each.

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来源期刊
CiteScore
4.90
自引率
6.90%
发文量
168
审稿时长
4-8 weeks
期刊介绍: Published since 1988, the Journal of the American Board of Family Medicine ( JABFM ) is the official peer-reviewed journal of the American Board of Family Medicine (ABFM). Believing that the public and scientific communities are best served by open access to information, JABFM makes its articles available free of charge and without registration at www.jabfm.org. JABFM is indexed by Medline, Index Medicus, and other services.
期刊最新文献
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