Ventres William B
From the Institute for Studies in History, Anthropology, and Archeology, University of El Salvador, San Salvador; Department of Family Medicine, Oregon Health and Science University, Portland, OR.
J Am Board Fam Med. 2017 Jan 2;30(1):104-108. doi: 10.3122/jabfm.2017.01.160074.
In this essay, I borrow the idea of universal precautions from infection control and suggest that family physicians use a set of considerations, based on the mnemonic UNIVERSAL, to nurture cultural humility, enter a metaphoric "space-in-between" in cross-cultural encounters, and foster global fluency. These UNIVERSAL considerations I base on my experiences in global family medicine, attending to economically poor and socially marginalized patients in both international and domestic settings. They are informed by readings in transcultural psychiatry, medical anthropology, development studies, and primary care. I invite others involved in global family medicine to reflect on what they have learned along their own professional paths, so as to enhance their therapeutic abilities as global family physicians, wherever they may be.
在本文中，我借鉴了感染控制中普遍预防措施的理念，并建议家庭医生运用一套基于助记符“UNIVERSAL”的考量因素，来培养文化谦逊，在跨文化交流中进入一个隐喻的“中间地带”，并促进全球流畅性。这些基于我在全球家庭医学领域的经验而提出的“UNIVERSAL”考量因素，涉及在国际和国内环境中为经济贫困和社会边缘化的患者提供服务。它们受到跨文化精神病学、医学人类学、发展研究和初级保健方面的读物的启发。我邀请其他从事全球家庭医学的人反思他们在自己专业道路上学到的东西，以便无论身处何地，都能增强他们作为全球家庭医生的治疗能力。
