1、本科毕业设计（论文） 外 文 翻 译 原文： The evolution of the Fenway Community Health model Field Action Reports Fenway Community Health was founded by community activists in 1971 in the Fenway neighborhood of Boston, Mass, and within a decade had rapidly expanded its medical services for gay men in response to the A
2、IDS epidemic. Increased expertise and cultural competence in lesbian, gay, bisexual, and transgender (LOBT) care led to expansion of medical services to address broader community concerns, ranging from substance use to parenting issues to domestic and homophobic violence, as well as specialized prog
3、rams for lesbians, bisexuals, and transgendered individuals. Fenway began as a grassroots neighborhood clinic. In 1975, the center recorded 5000 patient care visits； in 2000, Fenways clinical departments recorded 50 850 visits by 8361 individuals, including more than 1100 individuals receiving HIV-a
4、ssociated care. The center now has more than 170 staff people responsible for clinical programs, community education, research, administration, planning, and development. Over the past few years, Fenways annual budget has exceeded $10 million. Fenway has established standards for improved cultural c
5、ompetence about LGBT health issues for other health providers and has developed programs to educate the general community about specific LGBT health concerns. This health center may provide a model of comprehensive LGBT health services that have a local impact. The mission of Fenway Community Health
6、 is to enhance the physical and mental health of the general community, with an emphasis on services for LGBT individuals. Fenway is 1 of only 9 LGBT-specific community health centers in the United States. Fenways services include primary medical care and specialty HIV/AIDS, obstetrics, gynecology,
7、gerontology, podiatry, and dermatology services； mental health and addiction services； complementary therapies including chiropractic, massage, acupuncture, and nutrition therapies； health promotion programs, community education programs, programs for the prevention of domestic and homophobic violen
8、ce, and parenting programs； and family planning services that include alternative insemination . Fenway has developed unique programs for community health education and promotion, community-based research, health policy advocacy, and leadership in ongoing and emerging LGBT health care coalitions. Th
9、ese programs have been evaluated by external monitors, including federal agencies, and have been replicated elsewhere in the United States. Fenway has also developed an active professional educational program, participating in the training of medical students, residents, social workers and other men
10、tal health interns, nurses, and other allied health professionals, and many staff have appointments at local professional schools. Medical Department The medical department is the largest Fenway clinical department. It includes an integrated clinical practice of physicians teamed with other primary
11、care providers (nurse-practitioners, physicians assistants, registered nurses, and licensed practical nurses) and medical social workers, who deal with issues ranging from health insurance access to housing and provide triage for mental health services, as well as a freestanding community-based physician practitioner model. Primary care providers can readily refer clients to on-site mental health and other prevention services, including stress reduction programs, nutritional counseling, and substance
