Institut Universitaire de Médecine de Famille, Policlinique Médicale Universitaire, Lausanne, Switzerland.
Int J Health Policy Manag. 2015 May 17;4(8):561-3. doi: 10.15171/ijhpm.2015.99.
The discussion between general practitioners (GPs) and healthcare delivery organizations necessitates a common language. The presentation of the 4 types of GP's activities, opens dialogue but can lead to possible misunderstandings between the micro- and macro-level of the healthcare system. This commentary takes 4 examples: costs reduction by P4, priority of beneficence or nonmaleficence, role of evidence-based medicine (EBM) and use of a constructivist model.
全科医生(GP)与医疗服务提供组织之间的讨论需要使用共同的语言。介绍 4 种类型的 GP 活动可以开启对话,但可能会导致医疗体系的微观和宏观层面之间的误解。本文以 4 个例子进行说明:通过 P4 降低成本、优先考虑有利原则或不伤害原则、循证医学(EBM)的作用以及使用建构主义模型。