Álvarez Montero Santiago
Centro de Salud de Torrelodones, Gerencia de Atención Primaria, Servicio Madrileño de Salud, Torrelodones, Madrid, España.
Aten Primaria. 2017 Apr;49(4):248-252. doi: 10.1016/j.aprim.2016.06.011. Epub 2016 Sep 7.
Family medicine has to continually reinvent itself around a core of values that constitutes its navigation system. But accurate data on its impact on the health of people will account for how far the values are actually being implemented. Thus, we can say that family medicine is a specialty based on values and as well as evidence based. The absence of a clarification system of values or its implementation threatens its very existence. Some of the values that are reviewed have shown great recognition and survival over time. Others are presented because they seem sufficiently significant. These are: people, comprehensiveness, trust relationship, patient-centred method, accessibility, continuity, family unity and the community, teamwork, sustainability of the health system, and continuous improvement.
家庭医学必须围绕构成其导航系统的核心价值观不断进行自我重塑。但关于其对人们健康影响的准确数据将说明这些价值观实际得到落实的程度。因此,我们可以说家庭医学是一门基于价值观且以证据为基础的专业。缺乏价值观澄清体系或其实施会威胁到它的生存。一些经过审视的价值观随着时间推移已得到广泛认可并留存下来。其他价值观之所以被提出,是因为它们似乎具有足够的重要性。这些价值观包括:人、全面性、信任关系、以患者为中心的方法、可及性、连续性、家庭团结与社区、团队合作、卫生系统的可持续性以及持续改进。