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2000年医学人力资源培训

[Training of human resources for medicine in the year 2000].

作者信息

Ferreira J R

出版信息

Educ Med Salud. 1983;17(1):54-68.

PMID:6861677
Abstract

During the 17 years that remain till the year 2000, by which it is aspired to have achieved the goal of Health for All, medical manpower training will have to be redesigned to meet the purposes of that goal and to prepare the health service team for the challenges that await it in that no longer so distant future. The writer analyzes the Region's demographic, socioeconomic, technological and health situations and trends, and the parts played by the physician and the health services, and comes to the conclusion that, in addition to rationalizing the utilization of resources, primary care involves a profound transformation of the physician's social function and working situation; in other words, that the function of the physician, how services are used, and the technologies to be applied will have to be redefined for the year 2000. In relation to the outlook for professional practice, the article stresses that, to provide primary care to the entire population, the health services will need multiskilled and multidisciplinary personnel and the full participation of the community, and the preponderant role will fall to the general practitioner. Accomplishing all this will require greater emphasis on training the general practitioner (or family doctor), though without neglecting the specialist, a thoroughgoing and independent review of the study programs of the Latin American medical schools carried out by themselves in a spirit of self-criticism with a view to arriving at their own solutions, and the promotion of a closer physician-patient relationship, in a manner consistent with the political and social structure of each country.

摘要

到2000年还剩下17年时间,人们期望届时能实现“人人享有健康”的目标。为此,必须重新设计医学人才培训,以实现该目标,并让卫生服务团队为在不远的将来所面临的挑战做好准备。作者分析了该地区的人口、社会经济、技术和卫生状况及趋势,以及医生和卫生服务所起的作用,得出结论:除了合理利用资源外,初级保健还涉及医生社会功能和工作状况的深刻转变;也就是说,到2000年,医生的职能、服务的使用方式以及应用的技术都必须重新定义。关于专业实践的前景,文章强调,为全体民众提供初级保健,卫生服务将需要具备多种技能和多学科背景的人员以及社区的充分参与,而全科医生将发挥主要作用。要实现所有这些目标,需要更加重视培训全科医生(或家庭医生),同时也不能忽视专科医生,拉丁美洲医学院校要本着自我批评的精神对自身的学习课程进行全面、独立的审查,以找到适合自己的解决方案,并促进建立符合各国政治和社会结构的更紧密的医患关系。

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