From the Department of Family Medicine, Tufts University School of Medicine, Boston, MA (AFS); and Cambridge Health Alliance, Cambridge, MA (AFS); Atrium Health, Charlotte, NC (DCS); University of North Carolina Chapel Hill (DCS); Communication Department, Boston College, Department of Family Medicine, Tufts University School of Medicine (APD).
J Am Board Fam Med. 2021 Mar-Apr;34(2):430-434. doi: 10.3122/jabfm.2021.02.200194.
Even before social distancing disrupted normative expectations and prompted an immediate shift to remote doctor/patient interactions, technology companies-Amazon, Apple, and Google-were preparing to disrupt medical care through the innovative use of technology. This article presents a possible scenario for how technology, in the near future, will completely up-end primary care practice. What does face-to-face interaction accomplish that cannot be done remotely? What do family physicians offer that cannot be accomplished by technology? More than just relationship, family medicine brings the therapeutic use of the self to engage with people, an ability to advocate for patients, and the ability to step back and reflect on the power of relationships. In addition, family physicians bring wisdom, making decisions in the liminal state between patient and physician, the resulting product of the human connection but also the ability to manage complexity using the best evidence. The ability to do both gives family medicine physician the skills to leverage but also control the coming big data.
即使在社交距离扰乱了规范期望并促使立即转向远程医患互动之前，科技公司——亚马逊、苹果和谷歌——就已经准备通过创新使用技术来颠覆医疗保健。本文提出了一个可能的场景，即未来技术将如何彻底颠覆初级保健实践。面对面互动能完成哪些远程无法完成的事情？家庭医生提供了哪些技术无法实现的服务？不仅仅是人际关系，家庭医学还利用自我治疗的方法与人们接触，能够为患者代言，以及能够退后一步反思人际关系的力量。此外，家庭医生还带来了智慧，在医患之间的边缘状态做出决策，这是人类联系的产物，也是利用最佳证据管理复杂性的能力。能够兼顾这两方面使家庭医生具备了利用和控制即将到来的大数据的技能。
