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预防——基于常规临床实践

Prevention--building on routine clinical practice.

作者信息

Sim Moira G, Khong Eric

机构信息

Centre for Postgraduate Medicine, Edith Cowan University.

出版信息

Aust Fam Physician. 2006 Jan-Feb;35(1-2):12-5.

PMID:16489378
Abstract

BACKGROUND

The role of general practice in preventing disease and promoting health is strongly supported by research and health policies.

OBJECTIVE

This article examines the role of general practitioners in illness prevention and health promotion activities.

DISCUSSION

Despite time and other barriers, such as competing priorities, to the implementation of preventive activities, prevention is part of routine general practice. In providing care for the whole person over a long period of time prevention and treatment are not separate entities and the line between these are necessarily blurred. From a pragmatic point of view, if a practice is to increase its activity in prevention there needs to be a driver that makes this happen and strategies to suit the structure of the individual practice. Introducing small interventions and making use of the practice team is a good place to start in a range of health promotion activities including opportunistic education, brief interventions for patients with disease risk factors, and specific interventions for a known disease.

摘要

背景

研究和卫生政策大力支持全科医疗在预防疾病和促进健康方面的作用。

目的

本文探讨全科医生在疾病预防和健康促进活动中的作用。

讨论

尽管在开展预防活动时存在时间及其他障碍,如相互竞争的优先事项,但预防仍是全科医疗日常工作的一部分。在长期为患者提供全面护理的过程中,预防和治疗并非相互独立的,二者之间的界限必然模糊。从务实的角度来看,如果一家医疗机构要增加其预防活动,就需要有促使其实现的动力以及适合该机构结构的策略。引入小型干预措施并利用医疗团队是开展一系列健康促进活动的良好开端,这些活动包括机会性教育、针对有疾病风险因素患者的简短干预以及针对已知疾病的特定干预。

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