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DiscussionReflections

When “Patient-Centered” is Not Enough: A Call for Community-Centered Medicine

Juliana E. Morris
The Annals of Family Medicine January 2019, 17 (1) 82-84; DOI: https://doi.org/10.1370/afm.2335
Juliana E. Morris
Department of Family and Community Medicine, University of California, San Francisco, California
MD, EdM
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  • For correspondence: juliana.morris@ucsf.edu
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    When "Patient-Centered: is Not Enough: A Call for Community-Centered Medicine

    Juliana E. Morris

    Background In this essay, a family physician reflects on her journey from community organizer to primary care clinician.

    What This Study Found As a clinician, she remains inspired by community organizing--a model for driving social change and improving public health--but has found it challenging to incorporate into clinical practice. She proposes a model for how clinicians and practices can proactively partner with community organizing groups and facilitate referrals to help patients directly engage in transforming the root causes of their health challenges. This model shifts the focus from the patient as an individual agent of change to the community and offers lessons to clinicians interested in community health equity.

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The Annals of Family Medicine: 17 (1)
The Annals of Family Medicine: 17 (1)
Vol. 17, Issue 1
January/February 2019
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When “Patient-Centered” is Not Enough: A Call for Community-Centered Medicine
Juliana E. Morris
The Annals of Family Medicine Jan 2019, 17 (1) 82-84; DOI: 10.1370/afm.2335

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When “Patient-Centered” is Not Enough: A Call for Community-Centered Medicine
Juliana E. Morris
The Annals of Family Medicine Jan 2019, 17 (1) 82-84; DOI: 10.1370/afm.2335
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Subjects

  • Domains of illness & health:
    • Health promotion
  • Person groups:
    • Vulnerable populations
  • Methods:
    • Participatory / action research
  • Other topics:
    • Organizational / practice change
    • Communication / decision making
    • Disparities in health and health care
    • Social / cultural context

Keywords

  • community participation
  • social change
  • emigrants and immigrants
  • health equity
  • social determinants of health
  • community health services

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