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家庭医学,未来的专业:欧洲背景下的葡萄牙情况。

Family Medicine, the specialty of the future: the Portuguese situation within the European context.

作者信息

Villanueva Tiago

机构信息

USF AlphaMouro, Algueirão-Rio de Mouro Health Centre Group, Lisbon, Portugal.

出版信息

Int Arch Med. 2009 Nov 11;2(1):36. doi: 10.1186/1755-7682-2-36.

DOI:10.1186/1755-7682-2-36
PMID:19906299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2780393/
Abstract

General Practice/Family Medicine is a specialty focused on the provision of comprehensive, continuing, and community oriented, person-centred care. The lack of prestige and the difficulty in attracting trainees to the specialty have been longstanding problems in most countries around the world. In Europe, General Practice/Family Medicine is also hampered for not being recognized as a specialty throughout Europe. As for Portugal, General Practice/Family Medicine is undergoing a massive organizational reform, as well as unprecedented levels of popularity among trainees.General Practice/Family holds tremendous latent potential, and is thus a specialty with a bright future ahead. It could well establish itself as the specialty of the future if it is able to overcome the barriers that currently make of General Practice/Family Medicine an unpopular career choice. It is important to train confident, competent and polyvalent family physicians, but it is also necessary to overhaul payment schemes, to invest in primary care infra-structure and organization, and to continue to attract more and more bright and motivated trainees.

摘要

全科医学/家庭医学是一门专注于提供全面、持续、以社区为导向、以患者为中心的医疗服务的专业。在世界上大多数国家,该专业缺乏声望以及难以吸引受训人员一直是长期存在的问题。在欧洲,全科医学/家庭医学也因未在整个欧洲被认可为一门专业而受到阻碍。至于葡萄牙,全科医学/家庭医学正在经历大规模的组织改革,同时在受训人员中也受到前所未有的欢迎。全科医学/家庭医学具有巨大的潜在潜力,因此是一个前景光明的专业。如果它能够克服目前使全科医学/家庭医学成为不受欢迎职业选择的障碍,很有可能成为未来的专业。培养自信、有能力且具备多方面技能的家庭医生很重要,但改革支付方案、投资初级保健基础设施和组织,以及持续吸引越来越多聪明且有积极性的受训人员也很有必要。

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引用本文的文献

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The family medicine specialty, learning from experience.家庭医学专业,从经验中学习。
J Family Med Prim Care. 2014 Oct-Dec;3(4):436-7. doi: 10.4103/2249-4863.148142.

本文引用的文献

1
A lifeline for primary care.基层医疗的生命线。
N Engl J Med. 2009 Jun 25;360(26):2693-6. doi: 10.1056/NEJMp0902909.
2
Toward international primary care reform.迈向国际初级保健改革。
CMAJ. 2009 May 26;180(11):1091-2. doi: 10.1503/cmaj.090542.
3
Funding of vocational training programmes for general practice/family medicine in Europe.欧洲全科医学/家庭医学职业培训项目的资金支持。
Eur J Gen Pract. 2008;14(2):83-8. doi: 10.1080/13814780802095576.
4
[Some causes (and solutions) of the loss of prestige of general practitioners/family doctors. Against the discrediting of heroes].[全科医生/家庭医生威望丧失的一些原因(及解决办法)。反对诋毁英雄]
Aten Primaria. 2007 Nov;39(11):615-8. doi: 10.1157/13112199.
5
Western European best practice in primary healthcare.西欧初级医疗保健的最佳实践。
Eur J Gen Pract. 2006;12(1):30-3. doi: 10.1080/13814780600757187.