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It's time to integrate public health into medical education and clinical care

机译:是时候将公共卫生纳入医学教育和临床护理了

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We are in a time of economic crisis amidst a growing realization that our US health care system is broken-too expensive, too short on access, and too low in value. We invest heavily in fragmented, subspecialized care and unbridled use of technology for some, instead of public health, basic prevention and primary care for all. The Affordable Care Act addresses aspects of this problem-more emphasis on primary care, integrated care, and prevention. However, our systems of public health and primary care remain mostly in their own silos at a time when the nation needs them to collaborate in a common purpose.At one time, US physicians were core members of the public health workforce. They joined public health nurses, hospital staff, sanitation officers, and elected leaders to battle epidemics with little more than quarantine, hospitalization, and palliative care as interventions.
机译:我们正处于经济危机时期,人们越来越意识到我们的美国医疗保健系统过于昂贵,获取时间太短且价值太低。我们对一些零散的,专业化的护理以及对某些技术的无限制使用进行了大量投资,而不是所有人的公共卫生,基本预防和初级护理。 《平价医疗法案》解决了这个问题的各个方面,更多地侧重于初级保健,综合护理和预防。但是,在国家需要它们出于共同目标进行合作的时候,我们的公共卫生和初级保健体系大部分仍处于各自为政的状况。一次,美国医生是公共卫生工作队伍的核心成员。他们与公共卫生护士,医院工作人员,卫生官员以及民选领导人一道,以防疫,住院和姑息治疗为干预手段,与流行病作斗争。

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