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[全科医疗中的预防:基于证据的医学与基于经验的医学之间能否两全其美?]

[Prevention in general practice between evidence- and narrative-based medicine: squaring the circle?].

作者信息

Heintze Christoph

机构信息

Charité, Universitätsmedizin Berlin, Institut für Allgemeinmedizin.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2014;108(4):203-7. doi: 10.1016/j.zefq.2014.03.016. Epub 2014 Apr 30.

Abstract

In the German healthcare system, general practitioners (GPs) play an important role with regard to individualised prevention, as they are often the first contact for patients seeking advice. Additionally, there is a great need for preventive counselling from the patient's perspective. However, there is no clear evidence for the effectiveness of the prevention programmes established in Germany. Future prevention models need to be developed according to evidence-based criteria. Narrative-based medicine is seen as a promising complementary approach to strengthen individualised prevention in primary care.

摘要

在德国医疗体系中,全科医生在个性化预防方面发挥着重要作用,因为他们常常是寻求建议的患者的首个接触对象。此外,从患者角度来看,对预防性咨询的需求也很大。然而,对于德国制定的预防项目的有效性,尚无明确证据。未来的预防模式需要依据循证标准来制定。基于叙事的医学被视为一种有前景的补充方法,可加强初级医疗中的个性化预防。

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