Wong Geoff, Bentzen Niels, Wang Liejun
GP Principal and Walport Clinical Lecturer, Royal Free and University College Medical School, London, UK.
Institute of Public Health, University of Copenhagen, Denmark.
London J Prim Care (Abingdon). 2008;1(2):93-9. doi: 10.1080/17571472.2008.11493219.
The polyclinics debate should recognise the need to balance the benefits of long-term personal doctor-patient relationship with the broader improved health outcomes from evidence based inputs from multidisciplinary teams in primary care. There is increasing evidence from the international health literature that a focus on integrated health systems is the key to better health outcomes both at the individual and population levels, in addition to being more cost effective. Although there is some evidence that other healthcare professionals such as nurse practitioners can deliver equally high health outcomes for patients, the GP role is not an anachronism and even seems increasingly more important in the 21st century given the increasing complexity of primary care and long term conditions.
多诊所的争论应该认识到,需要在长期个人医患关系的益处与基层医疗中多学科团队基于证据的投入所带来的更广泛健康改善成果之间取得平衡。国际卫生文献中越来越多的证据表明,关注综合卫生系统是在个人和人群层面实现更好健康成果的关键,同时还更具成本效益。尽管有证据表明,其他医疗保健专业人员,如执业护士,也能为患者带来同样高的健康成果,但全科医生的角色并非不合时宜,鉴于基层医疗和长期病症日益复杂,在21世纪,全科医生的角色甚至似乎越来越重要。