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韩国医疗体系中四级预防的实施:来自2015年大韩民国中东呼吸综合征冠状病毒疫情的经验教训。

Implementation of Quaternary Prevention in the Korean Healthcare System: Lessons From the 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea.

作者信息

Bae Jong-Myon

机构信息

Department of Preventive Medicine, Jeju National University School of Medicine, Jeju, Korea.

出版信息

J Prev Med Public Health. 2015 Nov;48(6):271-3. doi: 10.3961/jpmph.15.059. Epub 2015 Nov 24.

DOI:10.3961/jpmph.15.059
PMID:26639739
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4676639/
Abstract

Quaternary prevention should be implemented to minimize harm to patients because the ultimate goal of medicine is to prevent disease and promote health. Primary care physicians have a major responsibility in quaternary prevention, and the establishment of clinical epidemiology as a distinct field of study would create a role charged with minimizing patient harm arising from over-medicalization.

摘要

应实施四级预防以尽量减少对患者的伤害,因为医学的最终目标是预防疾病和促进健康。基层医疗医生在四级预防中负有主要责任,而将临床流行病学确立为一个独立的研究领域将创造一个负责尽量减少过度医疗对患者造成伤害的角色。

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Implementation of Quaternary Prevention in the Korean Healthcare System: Lessons From the 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea.韩国医疗体系中四级预防的实施:来自2015年大韩民国中东呼吸综合征冠状病毒疫情的经验教训。
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The Author Reply: A Comment on "Quaternary Prevention in Public Health".作者回复:对《公共卫生中的四级预防》的评论
J Prev Med Public Health. 2016 Mar;49(2):141. doi: 10.3961/jpmph.16.032.
3
A Comment on "Quaternary Prevention in Public Health" by Dr. Jong-Myon Bae.对郑美然博士《公共卫生中的四级预防》一文的评论。
J Prev Med Public Health. 2016 Mar;49(2):139-40. doi: 10.3961/jpmph.16.031.

本文引用的文献

1
2015 MERS outbreak in Korea: hospital-to-hospital transmission.2015年韩国中东呼吸综合征疫情:医院间传播。
Epidemiol Health. 2015 Jul 21;37:e2015033. doi: 10.4178/epih/e2015033. eCollection 2015.
2
First do not harm.首要的是不造成伤害。
J Midlife Health. 2015 Apr-Jun;6(2):51-2.
3
[Quaternary prevention: is acting always justified in family medicine?].[四级预防:在家庭医学中采取行动总是合理的吗?]
Rev Med Suisse. 2014 May 14;10(430):1052-6.
4
Incorporating preventive care recommendations into clinical practice: how do we bridge the gap?将预防性护理建议纳入临床实践:我们如何缩小差距?
CMAJ. 1999 Apr 20;160(8):1171-2.