Walton H J
Med Educ. 1983 May;17(3):141-7. doi: 10.1111/j.1365-2923.1983.tb00653.x.
Primary health care has been held to be the foundation of any rational health system. The principle was fully endorsed by the Alma-Ata Conference in 1978, and has become the main policy of the World Health Organization. Important implications are involved for the education and training of doctors and other health care professions. An enquiry was conducted by personal interviews of those most responsible for the teaching of primary health care in the United Kingdom, to enquire about the status of primary health care in the curricula of U.K. medical schools, and about the standing of general practice. The enquiry also explored the degree of awareness among medical educators about the Alma-Ata Declaration. The leading representatives of primary health care in the medical schools made it clear that the teaching of primary health care varied greatly in the importance accorded to it and the resources made available for it by medical schools. Almost half the respondents were unaware of the support for greater emphasis on primary health care that had been specified in the Alma-Ata Declaration.
初级卫生保健一直被视为任何合理卫生系统的基础。这一原则在1978年的阿拉木图会议上得到了充分认可,并已成为世界卫生组织的主要政策。这对医生和其他卫生保健专业人员的教育与培训有着重要影响。通过对英国负责初级卫生保健教学的相关人员进行个人访谈展开了一项调查,以了解初级卫生保健在英国医学院课程中的地位以及全科医疗的情况。该调查还探究了医学教育工作者对《阿拉木图宣言》的知晓程度。医学院中初级卫生保健的主要代表明确表示,医学院对初级卫生保健教学的重视程度以及为其提供的资源差异很大。近一半的受访者未意识到《阿拉木图宣言》中对更加强调初级卫生保健的支持。