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基层医疗对理论医学的重要性:一篇评论

The importance of primary care for theoretical medicine: a commentary.

作者信息

Brody H

机构信息

Department of Family Practice, Michigan State University, East Lansing 48824.

出版信息

Theor Med. 1992 Sep;13(3):261-3. doi: 10.1007/BF00489203.

DOI:10.1007/BF00489203
PMID:1492341
Abstract

Froom and Froom call attention to referral bias as a frequent cause for misinterpreting the medical literature. This is particularly a source of false certainty, and therefore false science, in U.S. practice, where referral centers are often seen as the only legitimate source of medical knowledge and where primary care is discounted as a source of scientific observations. Appreciation of the primary care setting is therefore a critical element in theoretical understanding of medical epistemology.

摘要

弗鲁姆和弗鲁姆提请人们注意转诊偏倚,这是误读医学文献的常见原因。在美国的医疗实践中,这尤其会导致虚假的确信,进而产生伪科学,因为转诊中心常常被视为医学知识的唯一合法来源,而初级保健作为科学观察来源的价值却被低估。因此,认识初级保健环境是从理论上理解医学认识论的关键要素。

相似文献

1
The importance of primary care for theoretical medicine: a commentary.基层医疗对理论医学的重要性:一篇评论
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Homeopathy in rural Australian primary health care: a survey of general practitioner referral and practice in rural and regional New South Wales, Australia.澳大利亚农村初级卫生保健中的顺势疗法:对澳大利亚新南威尔士州农村和地区全科医生转诊及实践的一项调查。
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Interventions to improve outpatient referrals from primary care to secondary care.改善从初级保健向二级保健门诊转诊的干预措施。
Cochrane Database Syst Rev. 2008 Oct 8;2008(4):CD005471. doi: 10.1002/14651858.CD005471.pub2.

本文引用的文献

1
Adjusting for selection biases in referral populations.调整转诊人群中的选择偏倚。
J Fam Pract. 1987 Jan;24(1):80-2.
2
Selection bias in using data from one population to another: common pitfalls in the interpretation of medical literature.将一个人群的数据应用于另一个人群时的选择偏倚:医学文献解读中的常见陷阱。
Theor Med. 1992 Sep;13(3):255-9. doi: 10.1007/BF00489202.