Bursa Uludağ University Family Health Center, Bursa, Turkey.
Aten Primaria. 2022 Oct;54(10):102468. doi: 10.1016/j.aprim.2022.102468. Epub 2022 Sep 19.
Family medicine is the first gateway to primary health care in health systems. This feature makes the definition of family medicine complex due to its inclusive, holistic and continuous approach. The definition of family medicine should include the professional individual aspect of the family physician as well as its duties, authorities and responsibilities. Since the development of family medicine, definitions of the discipline have been frequently modified and updated, continuing to the present day. Family medicine represents the most basic aspect of the health-care system, which makes developing such definitions quite complex, and definitions must be revised and updated as conditions change. The first definition of family medicine, presented in 1974, was followed by a definition by Olesen et al. in 2000, and later by the European Society of General Practice/Family Medicine (WONCA Europe) in 2002. The WONCA Europe definition was then updated in 2011. Although this last definition explains family medicine in the most detailed way, today it needs updating especially in defining the individual characteristics of family medicine and its relations with the environment. There is a need to define the highly intensive role of family physicians while considering, the physicians' spiritual and personal agenda as human beings. The Göktaş definition of family medicine/general practice, which was suggested at the WONCA Europe 2018 conference in Krakow, Poland, represents a suitable means of completing the 2011 WONCA Europe definition in this regard.
家庭医学是卫生系统中初级卫生保健的第一道门户。由于其包容性、整体性和连续性方法,这一特征使得家庭医学的定义变得复杂。家庭医学的定义应该包括家庭医生的专业个人方面及其职责、权力和责任。自家庭医学发展以来,该学科的定义经常被修改和更新,一直持续到今天。家庭医学代表着医疗保健系统的最基本方面,这使得制定这样的定义变得非常复杂,并且必须随着条件的变化而修订和更新定义。1974 年提出的家庭医学的第一个定义,随后是 Olesen 等人在 2000 年提出的定义,以及欧洲普通科/家庭医学学会(WONCA 欧洲)在 2002 年提出的定义。随后,WONCA 欧洲的定义在 2011 年进行了更新。尽管这个最后一个定义以最详细的方式解释了家庭医学,但今天它需要更新,特别是在定义家庭医学的个体特征及其与环境的关系方面。有必要在考虑医生的精神和个人议程的情况下,定义家庭医生的高度密集角色。在 2018 年波兰克拉科夫举行的 WONCA 欧洲会议上提出的 Göktaş 家庭医学/普通科定义,是在这方面完善 2011 年 WONCA 欧洲定义的一种合适方式。