Style A J
J Natl Med Assoc. 1977 Nov;69(11):783-5.
Family medicine as a specialty has now "come of age." To maintain its new status, the specialty must be able to survive the vigorous assessment that is given other specialties by the public, the profession, and the academic community. One way of achieving this is for the family physician to do research of excellent quality and quantity. Traditionally, medical research has been done by secondary and tertiary care specialists and little has been done on the primary care needs of the black patient. The research done is of limited value for the family physician's daily work, a reason why family practitioners must do their own research. A research methodology has been described which is readily applicable to the family physician's office. It is an extension of good record keeping and includes Problem-Oriented Medical Records, an Age-Sex Register, a Daily Worksheet or Encounter Form, and a Morbidity Index, incorporating the "Pri-Care" (ICHPPC) code. The system is simple to use and requires only a small increase in administrative time. Every family physician is encouraged to consider its use.
家庭医学作为一门专业现已“成熟”。为保持其新地位,该专业必须能够经受住公众、专业同行和学术界对其他专业所进行的严格评估。实现这一目标的一种方法是让家庭医生开展高质量、高数量的研究。传统上,医学研究一直由二级和三级医疗专家进行,而针对黑人患者初级保健需求的研究做得很少。所开展的研究对家庭医生的日常工作价值有限,这就是家庭医生必须开展自身研究的一个原因。已经描述了一种研究方法,它很容易应用于家庭医生的诊所。这是良好病历记录的延伸,包括问题导向型医疗记录、年龄性别登记册、每日工作表或诊疗表,以及纳入了“初级保健”(国际初级保健分类)代码的发病率指数。该系统使用简单,仅需少量增加行政时间。鼓励每位家庭医生考虑使用它。