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[疾病概念与医疗保健组织之间的相互作用]

[Interaction between disease concepts and the organisation of health care].

作者信息

Gannik Dorte Effersøe, Guassora Ann Dorrit

机构信息

Forskningsenheden for Almen Praksis og Afdeling for Almen Medicin, Institut for Folke sundhedsvidenskab, Københavns Universitet, København K, Denmark.

出版信息

Ugeskr Laeger. 2011 Mar 14;173(11):807-11.

Abstract

The biomedical model of disease which is codified in the medical diagnosis is closely tied to and dependent on the organizational system typically seen in hospitals, with centralization, specialization and standardized work procedures being the primary traits. In contrast, primary health care and general practice allow ways of dealing with disease which are inherently bio-psycho-social in nature. They do this, among others, by way of their organizational foundation, which favours small, local practices, doctors with generalist competencies, patients' free choice of doctor and a list system.

摘要

医学诊断中所编纂的疾病生物医学模式与医院中常见的组织系统紧密相连且相互依存,其主要特征是集中化、专业化和标准化工作流程。相比之下,初级卫生保健和全科医疗采用的疾病处理方式本质上具有生物 - 心理 - 社会属性。它们通过其组织基础来实现这一点,该组织基础倾向于小型的本地诊所、具备全科能力的医生、患者自由选择医生以及名录制度等。

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