García Olmos L
Centro de Salud de Alcobendas, Madrid.
Gac Sanit. 1991 Jan-Feb;5(22):34-8. doi: 10.1016/s0213-9111(91)71047-9.
The introduction of the Family and Community Medicine specialist in Spain implied the beginning of an epidemiological approach in the activities of primary care, and the publication of the first studies on cared morbidity. Variations in tolerance threshold to illness by patients, differences in perception of health problems by physicians, the lack of a consensus on the definition of events that should be registered, together with the lack of a census of the eligible population are important problems for the development of such studies. The majority of studies published in our country have not overcome all these problems in an acceptable way.
西班牙引入家庭与社区医学专家意味着在初级保健活动中开始采用流行病学方法,并发表了首批关于所护理发病率的研究。患者对疾病的耐受阈值存在差异、医生对健康问题的认知不同、对应登记事件的定义缺乏共识,以及缺乏对符合条件人群的普查,这些都是开展此类研究的重要问题。我国发表的大多数研究都未能以可接受的方式克服所有这些问题。