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Preparing Family Physicians to Care for Underserved Populations: A Historical Perspective

机译：从历史的角度看准备家庭医生以照顾服务欠佳的人群

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Background: Family physicians have been involved in the care of rural and urban underserved populations since the founding of the specialty. In the early 1970s family medicine training programs specifically focused on training residents to work with the underserved were established in both urban and rural settings. Key to the success of these programs has been a specific focus on improving access to care, understanding and eliminating health disparities, cultural competency and behavioral science training that recognizes the challenges often faced by patients and families living in poor rural and urban areas of the country. In keeping with a focus on the underserved, several urban underserved residencies also became national models for the provision of primary care to patients and families affected by HIV/AIDS. Family medicine training programs focused on the underserved have resulted in the development of a cohort of family physicians who care for those most in need in the United States. Despite these achievements, persistent challenges remain in providing adequate access to care for many living in rural and inner city settings. New strategies will need to be developed by family medicine programs and others to better meet these challenges.
机译：背景：自专科成立以来，家庭医生就一直在照顾农村和城市服务不足的人群。在1970年代初，在城市和农村地区都建立了专门针对居民培训的家庭医学培训计划。这些计划成功的关键是特别关注改善获得护理的机会，了解和消除卫生差距，文化能力和行为科学培训，这些培训认识到生活在该国农村和城市贫困地区的患者和家庭经常面临的挑战。为了关注未得到充分服务的人群，一些城市服务不足的居民也成为了为受艾滋病毒/艾滋病影响的患者和家庭提供初级保健的国家模式。专注于服务不足的家庭医学培训计划已经导致了一批照顾美国最需要帮助的家庭医生的发展。尽管取得了这些成就，但仍然存在着持续的挑战，即为许多农村和城市中心地区的居民提供适当的护理机会。家庭医学计划和其他计划将需要制定新的策略，以更好地应对这些挑战。

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