World Organization of Family Doctors (Wonca) International Classification Committee, and Department of Family Medicine, University of Michigan Health System, Ann Arbor, Michigan, USA.
J Eval Clin Pract. 2011 Apr;17(2):365-70. doi: 10.1111/j.1365-2753.2010.01582.x. Epub 2010 Nov 22.
Fundamental changes in health care delivery are revealing the limitations of our collective focus on disease-specific and technology-driven health care. We increasingly treat diseases, not persons, and it moves individuals from active participants in the care process to passive recipients of interventions. This problem is especially important for general medicine, where we must maintain the balance between person and disease, caring and technology. In this chapter, we focus on prospects for person-centred diagnosis and treatment in general (primary care) medicine in this time of change. We describe one way to employ the biopsychosocial model to integrate person-centred diagnosis in routine clinical practice, and we propose a 'person-centred path' for primary care development with the health information technology tools we will need to develop to follow that path.
医疗服务的根本性变革揭示了我们对特定疾病和技术驱动型医疗的集体关注的局限性。我们越来越关注疾病而非个体，使个体从医疗过程的积极参与者转变为干预措施的被动接受者。这个问题在普通医学中尤为重要，因为我们必须在人与疾病、关怀与技术之间保持平衡。在这一章中，我们聚焦于在这个变革时代普通（初级保健）医学中以患者为中心的诊断和治疗的前景。我们描述了一种将生物心理社会模式应用于常规临床实践以实现以患者为中心的诊断的方法，并且我们提出了一条“以患者为中心的路径”，以初级保健的发展为目标，同时也提出了我们为了沿着这条道路发展所需要的健康信息技术工具。
