Sullivan F M, Shamlaye C
Department of General Practice, Glasgow University.
Trop Doct. 1992 Jul;22(3):100-4. doi: 10.1177/004947559202200303.
This paper describes some of the current health problems faced by a tropical country whose standard of living and lifestyle is approaching that of many countries in Western Europe. Long-term health problems such as cardiovascular diseases and diabetes have become at least as important as infectious diseases. A change in approach to a more proactive style of primary care is needed to allow the contribution of community doctors to be effective. The system of primary care in the Republic of Seychelles is based on the UK model of general practice where recent improvements in education and organization are raising standards. How some of these improvements might be transferred elsewhere is discussed.
本文描述了一个热带国家目前面临的一些健康问题，该国的生活水平和生活方式正在接近西欧的许多国家。心血管疾病和糖尿病等长期健康问题已变得至少与传染病一样重要。需要转变为更积极主动的初级保健方式，以使社区医生的贡献能够发挥实效。塞舌尔共和国的初级保健系统基于英国的全科医疗模式，近期在教育和组织方面的改进正在提高标准。本文还讨论了其中一些改进措施如何可能被推广到其他地方。
