我们的患者是否从预防性护理中获得了最大益处？北美视角。
Do our patients receive maximum benefit from preventive care? A North American perspective.
作者信息
Rosser W W, Lamberts H
机构信息
Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
出版信息
Br J Gen Pract. 1990 Oct;40(339):426-9.
Politicians, their constituents and family physicians believe that preventive medicine is essential if health care is to be improved. Family physicians believe that the majority of their patients are well cared for with preventive health care services but in reality preventive services are provided to less than half the population and some to fewer than 10%. Barriers to providing preventive care include the selection of procedures of unproven effectiveness, public unawareness of the benefits of the procedure and practical obstacles for physicians providing the services. Assessment of each of these barriers indicates how preventive care can be improved. Narrowing the gap between what we believe about preventive care and the level of preventive services we are providing could improve the health of our nations. However, the concept of primum non nocere must dominate the assessment of currently advocated preventive procedures and the consideration of new procedures.
政治家、他们的选民以及家庭医生都认为，如果要改善医疗保健，预防医学至关重要。家庭医生认为，他们的大多数患者都能通过预防性医疗服务得到良好的照料，但实际上，接受预防性服务的人口不到一半，有些服务的受益人群甚至不到10%。提供预防性护理的障碍包括选择未经证实有效性的程序、公众对该程序益处的不了解以及医生提供服务时的实际障碍。对这些障碍中的每一个进行评估都表明了如何改进预防性护理。缩小我们对预防性护理的认知与我们所提供的预防性服务水平之间的差距，可能会改善我们国家人民的健康状况。然而，“首要的是不伤害”这一理念必须主导对当前倡导的预防性程序的评估以及对新程序的考量。
Zotero 插件