title: Community of solution for the U.S. health care system: lessons from the U.S. educational system.
abstract: The Folsom Group asserts that radical changes are needed to fix the health care system in the United States. The U.S. education system is one potential model to emulate. Could a future health care system-level community of solution be modeled after the U.S. education system? Could community health care services be planned, organized, and delivered at the neighborhood level by district, similar to the structure for delivering public education? Could community health centers, governed by community boards, serve every neighborhood? This essay imagines how U.S. health care system reforms could be designed using our public school system as a roadmap. Our intention is to challenge readers to recognize the urgent need for radical reform in the U.S. health care system, to introduce one potential model for reform, and to encourage creative thinking about other system-level communities of solution that could lead to profound change and improvements in the U.S. health care system.
authors: Department of Family Medicine, Oregon Health and Science University, Portland, OR 97239, USA. devoej@ohsu.edu
authors: Jennifer E
authors: JE
authors: Devoe
authors: Rachel
authors: R
authors: Gold
mesh_terms: D000328:Adult; D002648:Child; D003151:Community Health Centers / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration; D057286:Electronic Health Records / Q000458:organization & administration; D005380:Financing, Government / Q000458:organization & administration; D018166:Health Care Reform / Q000458:organization & administration*; D006291:Health Policy; D006297:Health Services Accessibility / Q000458:organization & administration*; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006801:Humans; D017145:Models, Educational; D058996:Quality Improvement / Q000458:organization & administration; D014481:United States
keywords: Health Care Delivery; Health Care Financing; Health Care Reform; Health Care Systems; Health Policy
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