Rudebeck C E
Scand J Prim Health Care Suppl. 1992 Jan;10 Suppl 1:30-9. doi: 10.3109/02813439209014088.
General practice is situated close to the everyday life of the population, and close to the individual patient. Limitations of the biomedical perspective become obvious due to the individuality of the patients' experiences of symptoms and disease, and due to the high prevalence of symptoms without disease. General practice has to face this situation methodically, all through the steps of symptom analysis, diagnostic procedures, and treatment. The significant element of the clinical method is the recognition of clinical practice as an inter0human activity with very practical aims. Within the perspective of this method, symptoms turn out to be symptom presentations, professional objectivity to be an individual readiness to understand, and the patient a responsible individual to be understood and to be invited to become an active party in the process of diagnosis and treatment.
全科医疗贴近民众的日常生活,也贴近个体患者。由于患者症状和疾病体验的个体性,以及无症状疾病的高患病率,生物医学视角的局限性变得明显。全科医疗必须在症状分析、诊断程序和治疗的各个环节系统地面对这种情况。临床方法的重要要素是将临床实践视为具有非常实际目标的人际活动。在这种方法的视角下,症状变成症状表现,专业客观性变成个体的理解意愿,而患者则是一个需要被理解的责任个体,并被邀请成为诊断和治疗过程中的积极参与者。