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Prevention in medical education: an uncertain future.

作者信息

Fried R A

机构信息

Department of Family Medicine, University of Colorado School of Medicine, Denver 80220.

出版信息

J Gen Intern Med. 1990 Sep-Oct;5(5 Suppl):S108-11. doi: 10.1007/BF02600854.

DOI:10.1007/BF02600854
PMID:2231050
Abstract

There is reason for pessimism about the incorporation of prevention into medical education. In addition to what might be called the standard reasons for resistance to prevention, there are at least three other structural barriers: the destabilization of the health care system, the loss of interest in careers in primary care, and preventive medicine's failure to adopt a far-reaching critique of medicine and medical education. Only through linkages to progressive health care reform, to primary care, and to the biopsychosocial model can prevention achieve an important place in medical education.

摘要

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本文引用的文献

1
The clinical application of the biopsychosocial model.生物心理社会模型的临床应用。
Am J Psychiatry. 1980 May;137(5):535-44. doi: 10.1176/ajp.137.5.535.
2
Don't teach preventive medicine: a contrary view.别教授预防医学:一种相反的观点。
Public Health Rep. 1982 May-Jun;97(3):220-2.
3
Why not try preventing illness as a way of controlling Medicare costs?为何不尝试将预防疾病作为控制医疗保险成本的一种方式呢?
N Engl J Med. 1984 Sep 27;311(13):853-6. doi: 10.1056/NEJM198409273111312.
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Epidemiology in the 1980s--need for a change?
Lancet. 1980 Oct 18;2(8199):845-6. doi: 10.1016/s0140-6736(80)90184-1.
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Residency training in internal medicine: time for a change?内科住院医师培训:是时候做出改变了吗?
Ann Intern Med. 1986 Apr;104(4):554-61. doi: 10.7326/0003-4819-104-4-554.
6
Teaching clinical medicine in the ambulatory setting. An idea whose time may have finally come.在门诊环境中教授临床医学。这个想法的时代或许终于来临了。
N Engl J Med. 1986 Jan 2;314(1):27-31. doi: 10.1056/NEJM198601023140105.
7
The physician's actions and the outcome of illness in family practice.家庭医疗中医生的行为与疾病转归
J Fam Pract. 1986 Jul;23(1):43-7.
8
An end to patchwork reform of health care.医疗保健拼凑式改革的终结。
N Engl J Med. 1987 Oct 22;317(17):1086-9. doi: 10.1056/NEJM198710223171709.
9
Results of the NRMP for 1988.1988年美国国家住院医师匹配项目的结果。
J Med Educ. 1988 Jun;63(6):491-4. doi: 10.1097/00001888-198806000-00018.
10
A national health program for the United States. A physicians' proposal.美国的一项国家卫生计划。一项医生的提议。
N Engl J Med. 1989 Jan 12;320(2):102-8. doi: 10.1056/NEJM198901123200206.