Lamberts H
J R Coll Gen Pract. 1979 Jun;29(203):331-5.
Primary health care can be regarded as the boundary between society as a whole and the medical system. Many of the problems patients bring to doctors in primary care are concerned with their personalities and life situation, and can be considered together as problems of human behaviour.On being questioned in a waiting room, 15 per cent of patients considered their problem "psychosocial only", and an additional 13 to 14 per cent "both somatic and psychosocial".I believe that the concept of the primary health care team is particularly valuable in managing problems of behaviour, and nondoctor members of the team play a crucial role.In my opinion it is questionable whether people's life problems should be channelled through primary health care, but in the meanwhile it seems clear that in most western societies the fact is they are.
初级卫生保健可被视为整个社会与医疗系统之间的界限。患者在初级保健中向医生提出的许多问题都与他们的个性和生活状况有关,可一并视为人类行为问题。在候诊室接受询问时,15%的患者认为他们的问题“仅为社会心理问题”,另有13%至14%的患者认为是“躯体和社会心理问题兼具”。我认为初级卫生保健团队的概念在处理行为问题方面特别有价值,团队中的非医生成员发挥着关键作用。在我看来,人们的生活问题是否应通过初级卫生保健来解决是有疑问的,但与此同时,在大多数西方社会,事实似乎是它们确实如此。