Guessous I, Cornuz J, Hugli O W, Yersin B
Centre interdisciplinaire des urgences, CHUV, 1011 Lausanne.
Rev Med Suisse. 2006 Aug 9;2(75):1854-8.
Whereas preventive interventions for primary care physicians are now well established, the preventive interventions in emergency departments have been only partially and recently evaluated. Emergency departments probably represent however an opportunity for preventive medicine. Indeed, the population, sometimes vulnerable, consulting emergency departments, frequently presents risks factors and risks behaviours. Moreover, the concept of "teachable moment" and the studies recently performed seem to confirm this hypothesis. This article review the currently preventive interventions recommended in emergency departments and discuss the rationale to implement preventive medicine in emergency departments and the limits of this process.
虽然针对初级保健医生的预防性干预措施现已得到充分确立，但急诊科的预防性干预措施仅在近期得到了部分评估。然而，急诊科可能是预防医学的一个契机。事实上，前往急诊科就诊的人群有时较为脆弱，常常存在风险因素和风险行为。此外，“可教时刻”的概念以及近期开展的研究似乎证实了这一假设。本文回顾了目前急诊科推荐的预防性干预措施，并讨论了在急诊科实施预防医学的基本原理以及这一过程的局限性。
