Department of Family Medicine, Faculty of Health Sciences, University of KwaZulu-Natal, Durban.
S Afr Fam Pract (2004). 2020 Nov 6;62(1):e1-e4. doi: 10.4102/safp.v62i1.5242.
With the growing evidence regarding the benefit of a primary healthcare (PHC) approach to both individual patients and for a healthier community, a number of policy initiatives in South Africa are aimed at strengthening services at subdistrict level. Historically, the role of the doctor in many PHC clinics in South Africa had been limited to a clinical role. However, in the context of wanting to have a greater impact on social determinants of health, the role of the doctor at the PHC clinic needs to be revisited. A wider role of the doctor, in the context of an expanded multidisciplinary team is being explored.
随着越来越多的证据表明初级医疗保健(PHC)方法对个体患者和更健康的社区都有益,南非的一些政策举措旨在加强分区级别的服务。从历史上看,南非许多 PHC 诊所的医生的作用仅限于临床角色。然而,为了对健康的社会决定因素产生更大的影响,需要重新审视 PHC 诊所医生的作用。正在探索扩大多学科团队的背景下,医生发挥更广泛的作用。