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[初级保健:发展研究的领域定义]

[Primary care: A definition of the field to develop research].

作者信息

Verga-Gérard A

机构信息

CIC-EC 1433, Nancy, France.

Inserm, 54000 Nancy, France.

出版信息

Rev Epidemiol Sante Publique. 2018 Mar;66(2):157-162. doi: 10.1016/j.respe.2017.09.004. Epub 2017 Dec 2.

Abstract

BACKGROUND

Research in the field of primary care has dramatically increased in France in recent years, especially since 2013 with the introduction of primary care as a thematic priority for research proposals launched by the Ministry of Health (Direction générale de l'offre de soins).

MATERIAL AND METHODS

The RECaP (Research in Clinical Epidemiology and Public Health) network is a French research network supported by Inserm, which recently implemented a specific working group focusing on research in primary care, based on a multidisciplinary approach. Researchers from different specialties participate in this group. The first aim of the group was to reach a common definition of the perimeter and of the panel of healthcare professionals and structures potentially involved in the field of primary care. For this purpose, a selection of different data sets of sources defining primary care was analyzed by the group, each participant collecting a set of sources, from which a synthesis was made and discussed.

RESULTS

A definition of primary care at different levels (international, European and French) was summarized. A special attention was given to the French context in order to adapt the perimeter to the characteristics of the French healthcare system, notably by illustrating the different key elements of the definition with the inclusion of primary care actors and the type of practice premises.

CONCLUSION

In conclusion, this work illustrates the diversity of primary care in France and the potential offered for research purposes.

摘要

背景

近年来,法国初级保健领域的研究显著增加,尤其是自2013年以来,随着初级保健被列为卫生部(医疗服务总司)发起的研究提案的主题重点。

材料与方法

RECaP(临床流行病学与公共卫生研究)网络是一个由法国国家健康与医学研究院支持的法国研究网络,该网络最近基于多学科方法实施了一个专注于初级保健研究的特定工作组。来自不同专业的研究人员参与了该小组。该小组的首要目标是就初级保健领域可能涉及的医疗保健专业人员和机构的范围及类别达成共同定义。为此,该小组分析了一系列定义初级保健的不同数据源,每位参与者收集一组数据源,并在此基础上进行综合和讨论。

结果

总结了不同层面(国际、欧洲和法国)的初级保健定义。特别关注了法国的背景情况,以便使范围适应法国医疗保健系统的特点,尤其是通过纳入初级保健参与者和执业场所类型来说明定义的不同关键要素。

结论

总之,这项工作说明了法国初级保健的多样性以及其在研究方面的潜力。

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