Fujikawa L S, Bass R A, Schneiderman L J
J Fam Pract. 1979 Jun;8(6):1189-94.
A fundamental claim of family medicine is that the family physician treats the "whole" family--an ideological principle that guides undergraduate and residency education. Using archival data obtained from a random sample of 500 patients in one group of family physicians, this study analyzed the extent to which this principle is carried out in practice. Physicians trained in family practice residency programs were compared with their colleagues. Family types and marital stability were also examined. Results indicate that in only 28 percent of families (excluding single person households) were all family members seen by the same family physician. This occurred despite the high preponderance and stability of traditional nuclear families in the practice. There was no significant difference in this rate between graduates and nongraduates of approved family practice residency programs.
家庭医学的一个基本主张是，家庭医生治疗的是“整个”家庭——这是一个指导本科教育和住院医师培训的思想原则。本研究使用从一组家庭医生的500名患者随机样本中获得的档案数据，分析了这一原则在实际中得到贯彻的程度。将接受家庭医疗住院医师培训项目的医生与其同事进行了比较。还考察了家庭类型和婚姻稳定性。结果表明，在仅28%的家庭（不包括单人家庭）中，所有家庭成员由同一位家庭医生诊治。尽管在该医疗实践中传统核心家庭占比高且稳定，但仍出现了这种情况。经批准的家庭医疗住院医师培训项目的毕业生和非毕业生在这一比例上没有显著差异。
