Menchaca F J
Bol Med Hosp Infant Mex. 1979 Jan-Feb;36(1):67-76.
Accepted that it is through each pediatrician that pediatrics reaches every child, it is necessary to establish the circumstances which hinder the perception of social factors of disease on account of the actual importance of these factors. The author thinks that our perception of special factors is distorted by circumstances which act on the recruitment, during the medical education, the residency and along the professional life. The following circumstances are remarked: a reedificant scientific technology, the constraints of a manipulated consumption of sofisticated medical resources, a centralization of care in complex hospitals and a medical education which does not prepare for primary and community Medicine. The author recommends the pediatrician to recognize, with the help of an autoreflexive criticism, his failures to perceive clearly the social component of health and disease.
公认的是，儿科学是通过每位儿科医生接触到每个孩子的，鉴于社会因素对疾病的实际重要性，有必要确定那些阻碍对疾病社会因素认知的情况。作者认为，我们对特殊因素的认知因一些情况而扭曲，这些情况在医学教育、住院医师培训期间以及整个职业生涯中影响着人员招募。值得注意的情况如下：意义重大的科学技术、对复杂医疗资源的操控性消费的限制、复杂医院中医疗服务的集中化以及未为初级和社区医学做好准备的医学教育。作者建议儿科医生借助自我反思性批评，认识到自己在清晰认知健康和疾病的社会组成部分方面的不足。
