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患者故事:家庭医生和初级卫生保健团队的综合学习

Patient stories: Integrated learning for family physicians and primary health care teams.

作者信息

Rahman Sajitha P Mf, Harika Narabanda, Kumar Vijaya, Jebaraj Alfred

机构信息

Department of Family Medicine, Christian Medical College, Vellore, Tamil Nadu, India.

Community Health Nurse, Low Cost Effective Care Unit, Christian Medical College, Vellore, Tamil Nadu, India.

出版信息

J Family Med Prim Care. 2023 Sep;12(9):2172-2175. doi: 10.4103/jfmpc.jfmpc_2090_22. Epub 2023 Sep 30.

DOI:10.4103/jfmpc.jfmpc_2090_22
PMID:38024902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10657056/
Abstract

A family physician's open-ended commitment to the patient, not limited by the type of health problem or by a defined endpoint opens the door to the patients' world. Family physicians are uniquely privileged to provide all the key aspects of primary care-first contact care, comprehensive care, coordination and personalisation of care. The family physician as the trained primary care clinician is the interface between the illness experience of patients in primary care and the healthcare system in which patients undergo treatment. Based on our experience of working with communities, we submit that commitment to the person of the patient needs long-term relationship with communities. The breadth of knowledge and patient-doctor relationship in the compendium of a family physician skill set is a challenging and rewarding experience. This learned skill is attainable for all healthcare professionals.

摘要

家庭医生对患者做出开放式承诺,不受健康问题类型或既定终点的限制,从而打开了通往患者世界的大门。家庭医生享有独特的特权,能够提供初级保健的所有关键方面——首诊护理、全面护理、护理协调及个性化护理。作为经过培训的初级保健临床医生,家庭医生是初级保健中患者的疾病体验与患者接受治疗的医疗保健系统之间的接口。基于我们与社区合作的经验,我们认为,对患者个体的承诺需要与社区建立长期关系。家庭医生技能组合中的知识广度及医患关系是一种具有挑战性但又有回报的体验。所有医疗保健专业人员都可以掌握这种习得的技能。

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本文引用的文献

1
Health Seeking Behaviour and Healthcare Utilization in a Rural Cohort of North India.印度北部农村队列中的就医行为与医疗保健利用情况
Healthcare (Basel). 2022 Apr 19;10(5):757. doi: 10.3390/healthcare10050757.
2
Symptoms in family practice: New findings using electronic medical record data.家庭医疗中的症状:利用电子病历数据的新发现
Can Fam Physician. 2021 Nov;67(11):803-804. doi: 10.46747/cfp.6711803.
3
Making the case for the study of symptoms in family practice.阐述家庭医疗中症状研究的理由。
Can Fam Physician. 2020 Mar;66(3):218-219.
4
Universal health coverage - Time to dismantle vertical public health programs in India.全民健康覆盖——是时候拆除印度的垂直公共卫生项目了。
J Family Med Prim Care. 2019 Apr;8(4):1295-1296. doi: 10.4103/jfmpc.jfmpc_310_19.
5
Teaching the principles of family medicine.家庭医学原理教学。
Can Fam Physician. 1981 May;27:801-4.
6
Contribution of primary care to health systems and health.初级保健对卫生系统和健康的贡献。
Milbank Q. 2005;83(3):457-502. doi: 10.1111/j.1468-0009.2005.00409.x.