Fletcher R H, Burack R C, Larson E B, Lewis C E, Noren J J, Rabin D L, Stokes J, Scatarige C S, Reid Y
School of Medicine, University of N. Carolina, Chapel Hill, NC 27514
Am J Prev Med. 1986 Sep-Oct;2(5):285-9.
Clinical preventive medicine, efforts by clinicians to prevent disease in individual patients, is an important component of preventive medicine as a whole. Yet clinicians, including internists, apparently do not provide many preventive services of established effectiveness. This paper describes one approach to improving the practice of clinical preventive medicine: increased cooperation between general internists--one of the nation's largest groups of primary care physicians--and specialists in preventive/community medicine. The paper summarizes a larger report prepared by two societies representing these disciplines: the Society for Research and Education in Primary Care Internal Medicine and the Association of Teachers of Preventive Medicine. It was found that the two disciplines have many common goals, and much to offer each other, but do not often collaborate. The report concludes with 14 recommendations for improving the practice of clinical preventive medicine, which suggest that such improvement can be achieved in part through strengthening working relationships between general internists and preventive/community medicine specialists.
临床预防医学，即临床医生为个体患者预防疾病所做的努力，是整个预防医学的重要组成部分。然而，包括内科医生在内的临床医生显然并未提供许多已证实有效的预防服务。本文描述了一种改善临床预防医学实践的方法：普通内科医生（美国最大的基层医疗医生群体之一）与预防/社区医学专家之间加强合作。本文总结了由代表这些学科的两个学会编写的一份更详尽的报告：基层医疗内科研究与教育学会以及预防医学教师协会。研究发现，这两个学科有许多共同目标，且彼此能提供很多帮助，但它们之间并不经常合作。该报告最后提出了14条改善临床预防医学实践的建议，这些建议表明，这种改善在一定程度上可以通过加强普通内科医生与预防/社区医学专家之间的工作关系来实现。
