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美国的家庭医疗：头十年

Family practice in the United States of America: the first 10 years.

作者信息

Geyman J P

出版信息

J R Coll Gen Pract. 1979 May;29(202):289-96.

PMID:541798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2159067/
Abstract

Family medicine was officially recognized as an independent discipline and as the twentieth specialty in the USA in 1969, when the American Board of Family Practice was established.The main achievements of the first 10 years has been the establishment of departments of family practice in two thirds of the medical schools and the growth of graduate training has advanced rapidly from a total of 290 residents in 1970 to over 6,000 in 1978. Developments in group practice, team work, and medical records have been considerable and research is expanding.In 1976, the 50-year trend of falling numbers of family physicians in the USA was reversed for the first time and excellent progress is also being made in countering the geographical maldistribution of physicians.The challenges for the future of family practice are different from those in the past and are discussed.

摘要

1969年，美国家庭医疗委员会成立，家庭医学在美国被正式承认为一门独立学科，成为第二十个专业领域。头十年的主要成就包括三分之二的医学院校设立了家庭医疗系，研究生培训迅速发展，从1970年的290名住院医生增至1978年的6000多名。集体医疗、团队协作和病历方面都有显著发展，研究也在不断拓展。1976年，美国执业家庭医生数量持续下降50年的趋势首次逆转，在应对医生地理分布不均方面也取得了显著进展。文中讨论了家庭医疗未来面临的与过去不同的挑战。

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引用本文的文献

1
Family Medicine Research in the United States From the late 1960s Into the Future.美国从20世纪60年代末至今的家庭医学研究。
Fam Med. 2017 Apr;49(4):289-295.
2
Just a GP.只是一名全科医生。
J R Coll Gen Pract. 1980 Apr;30(213):231-9.

本文引用的文献

1
Organized Curiosity: A Practical Approach to the Problem of Keeping Records for Research Purposes in General Practice.有条理的好奇心：在全科医疗中为研究目的进行记录保存问题的实用方法。
J Coll Gen Pract. 1960 May;3(2):246-52.
2
General practice as an academic discipline. Reflections after a visit to the United States.作为一门学科的全科医学。访美后的思考
Lancet. 1966 Feb 19;1(7434):419-23. doi: 10.1016/s0140-6736(66)91412-7.
3
A data bank for patient care, curriculum, and research in family practice: 526,196 patient problems.
J Fam Pract. 1976 Feb;3(1):25-8.
4
Intellectual and attitudinal characteristics of medical students selecting family practice.选择家庭医疗的医学生的智力和态度特征。
J Fam Pract. 1975 Dec;2(6):431-2.
5
Research in the family practice residency program.家庭医学住院医师培训项目中的研究
J Fam Pract. 1977 Aug;5(2):245-8.
6
Graduate education in family practice.家庭医学研究生教育。
J Fam Pract. 1977 Jul;5(1):47-61.
7
Undergraduate education in family medicine.家庭医学本科教育。
J Fam Pract. 1977 Jul;5(1):37-46.
8
An integrated medical record and data system for primary care. Part 3: the diagnostic index manual and computer methods and applications.
J Fam Pract. 1977 Jul;5(1):113-20.
9
An intregrated medical record and data system for primary care. Part 2: classifications of health problems for use by family physicians.基层医疗综合病历与数据系统。第2部分：家庭医生使用的健康问题分类。
J Fam Pract. 1977 Jun;4(6):1149-51.
10
The effect of the organization and status of family practice undergraduate programs on residency selection.家庭医学本科项目的组织形式和地位对住院医师选拔的影响。
J Fam Pract. 1977 Apr;4(4):663-9.

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