Deisher J B
West J Med. 1974 Dec;121(6):521-9.
Around a core of common, acute and chronic, recurrent health problems, a family physician must marshall the traditional episodic management for both inpatient and outpatient illness. He must also be especially adept at recently emerging routines of prevention and early detection. He provides individual and familial psychologic support and counselling, for both its therapeutic and preventive values. In addition, he must relate the individual care of his patient and the patient's family to the community as a whole. In doing this he will use not only his own skills but those of lay health volunteers, trained allied health care professionals and skilled subspecialists in the limited medical disciplines. The proper preparation of family physicians for this complicated role has far-reaching implications for change in both medical education and medical practice.
围绕着常见的急慢性复发性健康问题这一核心，家庭医生必须对住院和门诊疾病进行传统的阶段性管理。他还必须特别擅长最近出现的预防和早期检测程序。他提供个人和家庭心理支持与咨询，兼具治疗和预防价值。此外，他必须将对患者及其家庭的个人护理与整个社区联系起来。在这样做的过程中，他不仅会运用自己的技能，还会借助非专业健康志愿者、经过培训的专职医护人员以及有限医学领域中技术精湛的专科医生的技能。让家庭医生为这一复杂角色做好充分准备，对医学教育和医疗实践的变革都具有深远影响。
