Smith G S
Johns Hopkins Injury Prevention Center, Baltimore, MD 21205.
J Gen Intern Med. 1990 Sep-Oct;5(5 Suppl):S67-73. doi: 10.1007/BF02600846.
Injuries and their prevention have received little attention by the medical community, despite the fact that injuries are the leading cause of premature death. However, much can be done to reduce the number and severity of injuries, and the practicing physician has an important role to play in this process. This report outlines the U.S. Preventive Services Task Force report recommendations for prevention strategies to reduce injuries and then seeks to define a broader role for the physician in prevention injuries that extends beyond the confines of office-based practice. While screening and counseling have proven effectiveness in certain situations, interventions that are passive or automatic in action, such as air bags, have proven to be more effective long-term solutions to reduce both the number and the severity of injuries. The author outlines and provides examples of seven areas where physicians can have a major impact either directly or through implementing effective injury-control strategies. These are: treatment, education, screening, hazard identification, research, advocacy, and policy making. Using all of these approaches, physicians can play a truly effective role in reducing the burden of injuries for their patients.
尽管伤害是过早死亡的首要原因,但医学领域对伤害及其预防却鲜有关注。然而,在减少伤害的数量和严重程度方面仍有许多工作可做,执业医师在这一过程中可发挥重要作用。本报告概述了美国预防服务工作组关于减少伤害预防策略的报告建议,进而试图界定医师在预防伤害方面更广泛的作用,这一作用超越了门诊医疗实践的范畴。虽然筛查和咨询在某些情况下已证明有效,但诸如安全气囊等被动或自动起作用的干预措施已被证明是减少伤害数量和严重程度的更有效的长期解决方案。作者概述并举例说明了医师可直接或通过实施有效的伤害控制策略产生重大影响的七个领域。这些领域是:治疗、教育、筛查、危害识别、研究、宣传和政策制定。通过运用所有这些方法,医师能够在减轻患者的伤害负担方面发挥真正有效的作用。