Lam Cindy L K
Family Medicine Unit, Department of Medicine, The University of Hong Kong, Hong Kong, SAR.
Ann Fam Med. 2004 May 26;2 Suppl 2(Suppl 2):S50-4. doi: 10.1370/afm.191.
Family medicine has matured as an academic and scientific discipline with its own core concepts, knowledge, skills, and research domains. It has acquired much expertise in studying common illnesses; the integration of medical, psychological, social, and behavioral sciences; patient-centered care; and health services delivery. Many health care challenges in the 21st century will place a great demand on primary care, which can serve its purpose only if it is of high quality and evidence based. Family medicine research can contribute to many areas of primary care, ranging from the early diagnosis to equitable health care. Stakeholders, such as the World Health Organization, governments, and funding agencies, are becoming more supportive to family medicine research because they recognize its key importance in improving the quality of primary care and bridging the gap between biomedical research and clinical practice. Family medicine can play a leading role in shifting the paradigm of medical research from the laboratory to the person. The 21st century should be a golden age of family medicine research because the time is right for the discipline, the health care environment is most suitable, and stakeholders are supportive. Family medicine must prepare for it by building up its research track record and capacity.
家庭医学已发展成为一门具有自身核心概念、知识、技能和研究领域的学术与科学学科。它在研究常见疾病、整合医学、心理、社会和行为科学、以患者为中心的护理以及卫生服务提供等方面积累了丰富的专业知识。21世纪的许多医疗保健挑战将对初级保健提出巨大需求,而只有高质量且基于证据的初级保健才能发挥其作用。家庭医学研究可在初级保健的诸多领域做出贡献,从早期诊断到公平的医疗保健。世界卫生组织、政府和资助机构等利益相关者对家庭医学研究的支持力度越来越大,因为他们认识到其在提高初级保健质量以及弥合生物医学研究与临床实践之间差距方面的关键重要性。家庭医学可在将医学研究范式从实验室转向个体方面发挥主导作用。21世纪应该是家庭医学研究的黄金时代,因为该学科发展的时机已经成熟,医疗保健环境最为适宜,且利益相关者也给予支持。家庭医学必须通过建立其研究记录和能力来为此做好准备。