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Home Research Research Library Academic Medicine’s Fourth Mission: Building on Community-Oriented Primary Care to Achieve Community-Engaged Health Care Academic Medicine’s Fourth Mission: Building on Community-Oriented Primary Care to Achieve Community-Engaged Health Care 2022 Author(s) Savage Hoggard, Courtney L, Kaufman, Arthur, Michener, J Lloyd, and Phillips, Robert L Topic(s) Role of Primary Care Volume Academic Medicine Source Academic Medicine A 2021 article, “Now is our time to act: Why academic medicine must embrace community collaboration as its fourth mission,” by Association of American Medical Colleges (AAMC) authors, including AAMC president and CEO Dr. David J. Skorton, offers 2 aims that are highly related: community collaboration and health equity. The AAMC’s call to prioritize community collaboration and health equity as pillars of the academic medicine mission echo earlier work on community-oriented primary care (COPC) and an even more robust model that builds on COPC, community-engaged health care (CEHC). COPC is a tested, systematic approach to health care by which a health clinic or system collaborates with a community to reshape priorities and services based on assessed health needs and determinants of health. COPC affirms health inequities’ socioeconomic and political roots, emphasizing health care as a relationship, not a transaction or commodity. Communities where COPC is implemented often see reductions in health inequities, especially those related to socioeconomic, structural, and environmental factors. COPC was the foundation on which community health centers were built, and early models had demonstrable effects on community health and engagement. Several academic health centers build on COPC to achieve CEHC. In CEHC, primary care remains critical, but more of the academic health center’s functions are pulled into community engagement and trust building. Thus, the AAMC has described and embraced a care and training model for which there are good, longitudinal examples among medical schools and teaching hospitals. Spreading CEHC and aligning the Community Health Needs Assessment requirements of academic health centers with the fourth mission could go a long way to improving equity, building trust, and repairing the social contract for health care. ABFM Research Read all 2022 Informing Equity & Diversity in Primary Care Policy and Practice: Introducing a New Series of Policy Briefs, Commentaries, and Voices in JABFM Go to Informing Equity & Diversity in Primary Care Policy and Practice: Introducing a New Series of Policy Briefs, Commentaries, and Voices in JABFM 2020 Incorporating machine learning and social determinants of health indicators into prospective risk adjustment for health plan payments Go to Incorporating machine learning and social determinants of health indicators into prospective risk adjustment for health plan payments 2022 Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure Go to Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure 2018 Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians Go to Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians
Author(s) Savage Hoggard, Courtney L, Kaufman, Arthur, Michener, J Lloyd, and Phillips, Robert L Topic(s) Role of Primary Care Volume Academic Medicine Source Academic Medicine
ABFM Research Read all 2022 Informing Equity & Diversity in Primary Care Policy and Practice: Introducing a New Series of Policy Briefs, Commentaries, and Voices in JABFM Go to Informing Equity & Diversity in Primary Care Policy and Practice: Introducing a New Series of Policy Briefs, Commentaries, and Voices in JABFM 2020 Incorporating machine learning and social determinants of health indicators into prospective risk adjustment for health plan payments Go to Incorporating machine learning and social determinants of health indicators into prospective risk adjustment for health plan payments 2022 Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure Go to Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure 2018 Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians Go to Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians
2022 Informing Equity & Diversity in Primary Care Policy and Practice: Introducing a New Series of Policy Briefs, Commentaries, and Voices in JABFM Go to Informing Equity & Diversity in Primary Care Policy and Practice: Introducing a New Series of Policy Briefs, Commentaries, and Voices in JABFM
2020 Incorporating machine learning and social determinants of health indicators into prospective risk adjustment for health plan payments Go to Incorporating machine learning and social determinants of health indicators into prospective risk adjustment for health plan payments
2022 Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure Go to Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure
2018 Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians Go to Rural Family Physicians Have a Broader Scope of Practice Than Urban Family Physicians