Sales M
Aust Fam Physician. 1989 Jan;18(1):18-20.
Techniques of promotive and preventive health care include: The use of proactive skills in the consultation; and the co-ordinated use of posters and pamphlets with media campaigns. An efficient medical record and patient recall system; and a doctor initiated health check programme with selected patients. A cost effective method of informing practitioners includes: Ensuring access to continuing medical education by supporting FMP and post-graduate medical institutes. The provision of educational material for both the patient and doctor combined with media publicity campaigns. Supporting RACGP CHECKUP and library services for isolated practitioners. Suggested changes to undergraduate medical education are: Promotive and preventive health care delivery needs to be an inbuilt part of the curriculum. Promotive and preventive health care needs to be taught by both academic and private general practitioners who have received tutor training. It should be presented in tutorial form and during student attachment at surgeries. It needs to be followed up by continuing education by postgraduate institutes, the RACGP and FMP. Government input required includes: The provision of increased academic resources and continued funding of FMP. Remuneration for general practitioners who are involved in undergraduate teaching. Alteration of the fee structure to reward quality of care. Allowing Medicare rebate for promotive and preventive health care delivery.
在咨询中运用主动技能;以及将海报和宣传册与媒体宣传活动协调使用。高效的病历和患者召回系统;以及医生为选定患者启动的健康检查计划。一种向从业者提供信息的经济有效方法包括:通过支持家庭医学计划(FMP)和研究生医学机构来确保他们有机会接受继续医学教育。为患者和医生提供教育材料,并结合媒体宣传活动。支持皇家澳大利亚全科医生学院(RACGP)的检查计划以及为偏远地区从业者提供图书馆服务。对本科医学教育的建议性变革包括:促进性和预防性医疗保健服务需要成为课程的内在组成部分。促进性和预防性医疗保健需要由接受过导师培训的学术型和私人全科医生来教授。应以辅导形式并在学生实习期间进行讲授。研究生机构、皇家澳大利亚全科医生学院和家庭医学计划应通过继续教育对其进行跟进。所需的政府投入包括:提供更多的学术资源并继续为家庭医学计划提供资金。对参与本科教学的全科医生给予报酬。改变收费结构以奖励医疗服务质量。允许对促进性和预防性医疗保健服务给予医疗保险回扣。