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[精神障碍的社会医学方面:定义、流行病学、背景及能力评估]

[Socio-medical aspects of mental disorders : Definition, epidemiology, context and assessment of capacity].

作者信息

Muschalla B, Linden M

机构信息

Abteilung Verhaltenstherapie und Psychosomatik, Rehabilitationszentrum Seehof der Deutschen Rentenversicherung Bund, Lichterfelder Allee 55, 14513, Berlin, Deutschland.

出版信息

Nervenarzt. 2011 Jul;82(7):917-30; quiz 931. doi: 10.1007/s00115-011-3305-8.

Abstract

Social medicine is an interdisciplinary field of medicine which analyses and describes the interactions between illness, individual, society, and organisational structures of the health care system, including prevention, treatment and rehabilitation. Part of social medicine is epidemiology, including analytic epidemiology. The goal is to monitor the prevalence and spectrum of illnesses in the general population or subpopulations and to study possible risks of illness. The question is which environmental or contextual factors influence the prevalence and course of illnesses. Another area of social medicine is to evaluate patients and decide who needs social support. Important topics are inability to work, need for early retirement and pension, or disability. In this context it is important to make a distinction between functions, capacities, context and participation. There is a second paper on social medicine which covers modes of care and treatment in social medicine.

摘要

社会医学是医学的一个跨学科领域,它分析和描述疾病、个体、社会以及医疗保健系统组织结构之间的相互作用,包括预防、治疗和康复。社会医学的一部分是流行病学,包括分析流行病学。其目标是监测普通人群或亚人群中疾病的患病率和范围,并研究可能的患病风险。问题在于哪些环境或背景因素会影响疾病的患病率和病程。社会医学的另一个领域是评估患者并确定谁需要社会支持。重要的主题包括无法工作、提前退休和养老金需求或残疾。在这种情况下,区分功能、能力、背景和参与非常重要。还有一篇关于社会医学的论文,涵盖了社会医学中的护理和治疗模式。

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