Schwenk T L, Woolley F R
Department of Family and Community Medicine, University of Utah School of Medicine, Salt Lake City.
Am J Prev Med. 1986 Jan-Feb;2(1):49-58.
The role of community-oriented primary care is the subject of considerable debate and controversy, leading to confusion for both its practitioners and educators. This paper attempts to clarify this role by applying systems theory to the concept of community-oriented primary care as first-contact medical care for the patient, in the context of the community. Relationships between the primary care physician and the following entities are defined: the patient; the physician's and patient's community, culture, and society; the physician's office; the medical care system; and the physician's and patient's families. The educational implications of the resultant role are discussed.
以社区为导向的初级保健的作用是大量辩论和争议的主题，这给其从业者和教育工作者都带来了困惑。本文试图通过将系统理论应用于以社区为导向的初级保健概念，即在社区背景下作为患者的首次接触医疗保健，来阐明这一作用。定义了初级保健医生与以下实体之间的关系：患者；医生和患者的社区、文化和社会；医生办公室；医疗保健系统；以及医生和患者的家庭。讨论了由此产生的作用的教育意义。
