Bradley Sally, David McKelvey S
Salford Primary Care Trust, St James's House, Pendleton Way, Salford M6 5 FW, England.
J Epidemiol Community Health. 2005 Nov;59(11):920-3. doi: 10.1136/jech.2005.034405.
Primary care and public health both work to improve the population's health. The potential benefits of improved integration between these disciplines have however not been fully seen because of the lack of a structured way to deliver the integration. This article reviews the benefits, models of working, and challenges to the integration of public health and primary care. General practitioners with special interests (GPwSI) have now been created and formally recognised in clinical roles in the United Kingdom. It is proposed that the creation of GPwSI in public health offers an ideal model of a way of achieving integration and ensuring public health is delivered in primary care.
初级保健和公共卫生都致力于改善人群健康。然而,由于缺乏一种结构化的整合方式,这些学科之间加强整合的潜在益处尚未得到充分体现。本文回顾了公共卫生与初级保健整合的益处、工作模式及挑战。在英国,现在已经设立了具有特殊兴趣的全科医生(GPwSI),并在临床角色中得到了正式认可。有人提议,设立公共卫生领域的GPwSI提供了一种实现整合并确保在初级保健中提供公共卫生服务的理想模式。