Espace Temps, Maison de Santé, Charleroi, Belgium, and Department of General Practice, University of Liege, Liège, Belgium.
Int J Health Policy Manag. 2015 Feb 4;4(2):61-4. doi: 10.15171/ijhpm.2015.24. eCollection 2015 Feb.
In response to the questioning of Health Policy and Management (HPAM) by colleagues on the role of rank and file family physicians in the same journal, the author, a family physician in Belgium, is trying to highlight the complexity and depth of the work of his colleagues and their contribution to the understanding of the organization and economy of healthcare. It addresses, in particular, the management of health elements throughout the ongoing relationship of the family doctor with his/her patients. It shows how the three dimensions of prevention, clearly included in the daily work, are complemented with the fourth dimension, quaternary prevention or prevention of medicine itself, whose understanding could help to control the economic and human costs of healthcare.
针对同一期刊上卫生政策和管理（HPAM）领域同事对基层家庭医生角色的质疑，作者作为一名比利时的家庭医生，试图强调其同事工作的复杂性和深度，以及他们对医疗保健组织和经济的贡献。它特别涉及家庭医生与其患者持续关系中整个健康要素的管理。它展示了如何在日常工作中明确包含预防的三个维度，如何通过第四维度——四级预防或医学本身的预防来补充，对其的理解有助于控制医疗保健的经济和人力成本。
