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一项国家公共卫生服务。

A national public health service.

作者信息

Galbraith N S

出版信息

J R Soc Med. 1981 Jan;74(1):16-21.

Abstract

The development of the British public health services is briefly reviewed and it is suggested that two types of epidemiologist (Community Physician) are necessary in each locality: one concerned with medical administration and health care planning-the medical administrator, and the other with the prevention of disease-the clinical epidemiologist. A new nation public health service is proposed to revive disease prevention with four main features: (1) A district Clinical Epidemiologist who is a member of the district department of community medicine with responsibility for prevention but with no district administrative duties. (2) A District Epidemiology Unit comprising other appropriate staff. (3) National specialist epidemiology units within the NHS with service roles to support and coordinate the District Clinical Epidemiologists. (4) A national authority within the NHS with responsibility for prevention and for administering the national specialist units.

摘要

本文简要回顾了英国公共卫生服务的发展历程,并指出每个地区需要两类流行病学家(社区医生):一类负责医疗管理和医疗保健规划——医疗管理人员;另一类负责疾病预防——临床流行病学家。本文提议建立一个新的国家公共卫生服务体系,以重振疾病预防工作,该体系具有四个主要特点:(1)一名地区临床流行病学家,他是地区社区医学部门的成员,负责预防工作,但不承担地区行政职责。(2)一个由其他合适人员组成的地区流行病学单位。(3)国民保健服务体系内的国家专业流行病学单位,其服务职责是支持和协调地区临床流行病学家。(4)国民保健服务体系内的一个国家机构,负责预防工作并管理国家专业单位。

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本文引用的文献

1
Community medicine: future imperfect?社区医学:未来并不完美?
J Epidemiol Community Health. 1980 Jun;34(2):69-75. doi: 10.1136/jech.34.2.69.
3
Paget's disease of bone: the Lancashire focus.骨佩吉特病:兰开夏郡研究重点
Br Med J. 1980 Apr 26;280(6222):1105-7. doi: 10.1136/bmj.280.6222.1105.
4
The future of community medicine.社区医学的未来。
J R Soc Med. 1980 Jan;73(1):1-3. doi: 10.1177/014107688007300101.
7
Nasal cancer in woodworkers in the furniture industry.家具行业木工中的鼻癌
Br Med J. 1968 Jun 8;2(5605):587-96. doi: 10.1136/bmj.2.5605.587.
8
Epidemiology and the green paper: a national epidemiological service?
Lancet. 1968 Dec 21;2(7582):1339-40. doi: 10.1016/s0140-6736(68)91831-x.
10
Control of communicable disease at district level.地区层面的传染病控制
Proc R Soc Med. 1977 Dec;70(12):885-9. doi: 10.1177/003591577707001218.

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