University of Western Australia, Perth, WA.
Med J Aust. 2011 Jul 4;195(1):49-50. doi: 10.5694/j.1326-5377.2011.tb03192.x.
General medicine is being challenged by increasing numbers of patients who are presenting with multiple comorbidities and a decline in numbers of suitably trained personnel to manage these patients. A resurgence in generalist care, with collaboration between generalists and specialists, is the key to successfully managing patients who present with acute medical conditions. Better funded collaborative training programs for general physicians, which promote a diversity of skills and address clinical demand in a proscriptive manner, are needed. Research aimed at designing acute services to match local clinical demand is also required.
全科医学正面临着越来越多的挑战，这些患者同时患有多种合并症，而能够管理这些患者的合格医务人员数量却在减少。重新强调通科医生的作用，让通科医生与专科医生合作，是成功管理急性病患者的关键。需要为普通医生提供资金更充足的合作培训计划，以促进多种技能的发展，并以规定的方式解决临床需求。还需要进行旨在设计与当地临床需求相匹配的急性病服务的研究。
