Byyny R L
Division of Internal Medicine, University of Colorado, Denver 80262.
Arch Intern Med. 1988 Feb;148(2):369-72.
The health care needs of most adults can best be met by a well-trained general internist. In the 1990s, general internists will find a surplus of specialists and subspecialists and an aging population. One of their major concerns will be controlling health care costs using a number of different strategies. Two of the major methods to control costs will be to place a greater emphasis on ambulatory care and to avoid hospitalization of patients whenever possible. To best prepare general internists, residency program directors will need to improve education in clinical practice by including more teaching in continuity of care in ambulatory settings, improved teaching of new content for practice, and increasing the number of program graduates entering practice as general internists.
大多数成年人的医疗保健需求最好由训练有素的普通内科医生来满足。在20世纪90年代，普通内科医生会发现专科医生和亚专科医生过剩，以及人口老龄化。他们主要关注的问题之一将是采用多种不同策略控制医疗保健成本。控制成本的两个主要方法将是更加强调门诊护理，并尽可能避免患者住院。为了让普通内科医生做好最佳准备，住院医师培训项目主任需要通过在门诊环境中增加更多关于连续性护理的教学、改进新的实践内容教学以及增加作为普通内科医生进入实践的项目毕业生数量来改善临床实践教育。
