Rosser W W, Green L
Can Fam Physician. 1989 Apr;35:843-6.
Patients suffering from common illnesses seek assistance from their family physicians and are referred to tertiary care specialists only if unusual complications develop. Tertiary care specialists have performed the bulk of training and research for primary care physicians. The result is that research and education are inappropriate for the illnesses most often encountered in family practice. The Ambulatory Sentinel Practice Network (ASPN) was formed to gather information about the disorders encountered in general practice that form the greatest part of human suffering and to disseminate that information among primary care practitioners.
患有常见疾病的患者会向家庭医生寻求帮助,只有在出现异常并发症时才会被转诊至三级护理专家处。三级护理专家为初级护理医生开展了大部分的培训和研究。结果就是,研究和教育与家庭医疗中最常遇到的疾病不匹配。流动哨点实践网络(ASPN)的成立旨在收集有关全科医疗中所遇到疾病的信息,这些疾病是人类痛苦的主要构成部分,并在初级护理从业者中传播这些信息。