Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka.
J Interprof Care. 2013 Sep;27(5):432-3. doi: 10.3109/13561820.2013.776023. Epub 2013 May 9.
The history of Assistant Medical Officers (AMOs) in Sri Lanka can be traced back to the 1860s. Their training from the beginning followed an allopathic, 'evidence based' model. AMOs have played a key role in rural and peripheral health care, through staffing of government central dispensaries and maternity homes and may have contributed to Sri Lanka's favorable health outcomes. While there are currently approximately 2000 AMOs, their training course was discontinued in 1995. It was argued that the quality of care provided by the AMOs is substandard relative to that of physicians. The success, rapid expansion and integration of physician assistant programs into the US health care system have recently spurred other countries to introduce similar programs. This paper reviews Sri Lanka's move in the opposite direction, phasing out the AMO profession, without any research into their contributions to access to interprofessional primary health care and positive health outcomes.
斯里兰卡助理医疗官（AMO）的历史可以追溯到 19 世纪 60 年代。从一开始，他们的培训就遵循了顺势疗法和“基于证据”的模式。AMO 在农村和周边地区的医疗保健中发挥了关键作用，负责政府中央药房和妇产科医院的人员配备，这可能为斯里兰卡带来了有利的健康结果。尽管目前大约有 2000 名 AMO，但他们的培训课程已于 1995 年停止。有人认为，AMO 提供的护理质量相对于医生而言较低标准。最近，医师助理计划在美国医疗保健系统中的成功、快速扩张和整合促使其他国家推出类似的计划。本文回顾了斯里兰卡朝着相反方向发展的情况，逐步淘汰 AMO 职业，而没有对他们在获得跨专业初级卫生保健和积极健康结果方面的贡献进行任何研究。
