Freidin R B
Gen Hosp Psychiatry. 1980 Mar;2(1):10-9. doi: 10.1016/0163-8343(80)90101-2.
There is a need to develop a systematic method for integrating organic, emotional, personal, and environmental data of a patient's lifestyle into the management of health problems. The Primary Care Multidimensional Model (PCMM) was developed to assist in the formulation of an individual's health problem, whether categorized as biological, psychological or social. The PCMM was applied to 276 health problems attended in a consecutive sample of 84 adult patients cared for in an inner city primary care setting. Seventy-five percent of the problems were categorized as primarily biological, 14% as psychological, and 9% as social. Sixty-seven percent of the "biological" problems were found to have emotional, personal, or environmental variables from the patient's lifestyle considered relevant at the time of the study visit. All psychological and social problems were likewise multidimensional. In the population studied, over 75% of the health problems attended in a primary care practice fulfilled the biopsychosocial model of illness as defined by the PCMM. The heuristic value of this study is discussed.
需要开发一种系统方法，将患者生活方式的有机、情感、个人和环境数据整合到健康问题的管理中。初级保健多维模型（PCMM）的开发是为了帮助确定个人的健康问题，无论其被归类为生物、心理还是社会问题。PCMM应用于在市中心初级保健机构接受治疗的84名成年患者的连续样本中出现的276个健康问题。75%的问题主要归类为生物问题，14%为心理问题，9%为社会问题。在研究就诊时，发现67%的“生物”问题具有来自患者生活方式的情感、个人或环境变量，这些变量被认为是相关的。所有心理和社会问题同样是多维的。在所研究的人群中，初级保健实践中超过75%的健康问题符合PCMM所定义的疾病生物心理社会模型。本文讨论了该研究的启发价值。
