Arya Neil, Dahlman Bruce, Gibson Christine, Ponka David, Haq Cynthia, Rouleau Katherine, Hansel Stephanie
Assistant Clinical Professor in the Department of Family Medicine at McMaster University in Hamilton, Ont, and Adjunct Professor in the Department of Family Medicine at Western University in London, Ont.
Head of the Department of Family Medicine and Community Care in the School of Medicine and Health Sciences at Kabarak University in Kenya at the time of the review.
Can Fam Physician. 2017 Aug;63(8):602-606.
To assess family medicine's role in developing strong, coordinated, community-based, integrated health care systems in low-resource settings globally.
A subgroup of the Besrour Centre of the College of Family Physicians of Canada developed connections with selected international colleagues with expertise in international family medicine practice, health systems and capacity building, and teaching to map family medicine globally and give a bird's eye view of family medicine internationally.
Following a background literature review, the authors collectively reflected on their substantial international experience to attempt to describe best practices for various contexts.
With the failure of vertical, disease-oriented models to provide sustained improvements in health outcomes, the need to develop integrated primary care involving the most appropriate health professionals for differing contexts is becoming apparent worldwide. Health system planning is required to develop policies on health professional training to achieve this. Advocating and offering appropriate incentives for, and coordination of, local opportunities within the health system also becomes paramount. The adaptability and generalist nature of family medicine allows it to respond to the unique needs of a given population. Family physicians with adequate financial and physical resources can function most effectively as members of interdisciplinary teams, thus providing valuable, comprehensive health services in any area of the world.
评估家庭医学在全球资源匮乏地区发展强大、协调、基于社区的综合医疗保健系统中的作用。
加拿大家庭医生学院贝斯鲁尔中心的一个小组与选定的国际同行建立了联系，这些同行在国际家庭医学实践、卫生系统和能力建设以及教学方面具有专业知识，以便在全球范围内描绘家庭医学，并对国际家庭医学进行鸟瞰。
在对背景文献进行综述之后，作者们共同反思了他们丰富的国际经验，试图描述针对不同背景的最佳实践。
由于垂直的、以疾病为导向的模式未能持续改善健康结果，在全球范围内，发展由最适合不同背景的卫生专业人员参与的综合初级保健的必要性日益明显。需要进行卫生系统规划，以制定关于卫生专业人员培训的政策来实现这一目标。倡导并为卫生系统内的当地机会提供适当激励以及进行协调也变得至关重要。家庭医学的适应性和全科性质使其能够满足特定人群的独特需求。拥有充足资金和物质资源的家庭医生作为跨学科团队的成员能够最有效地发挥作用，从而在世界任何地区提供有价值的全面医疗服务。
