Gannik D E
Central Research Unit of General Practice, Panum Instituttet, Copenhagen N, Denmark.
Fam Pract. 1995 Jun;12(2):202-6. doi: 10.1093/fampra/12.2.202.
The American sociologist Angelo Alonzo has put down the premises for a theory of illness behaviour based on an interactionist-situational framework. In this article I suggest that a disease concept of 'situational disease' based on this framework would be well suited for clinical work in general practice. The outlines of the theory is given and compared with a more traditional diagnostic model, especially with regard to consequences for treatment and research methods. I argue that there is a narrow relationship of disease models and research methodology and that e.g. a rigorous enforcement of the prevailing methodology of controlled clinical trials is liable to uphold an anachronistic disease model. Practice guidelines which originate from a situational understanding of disease should be encouraged and to this end general practice needs to develop a broad range of research methods suited to its distinctive professional role.
美国社会学家安杰洛·阿隆佐提出了基于互动主义情境框架的疾病行为理论前提。在本文中，我认为基于该框架的“情境性疾病”疾病概念非常适合全科医疗的临床工作。本文给出了该理论的概要，并与更传统的诊断模型进行了比较，特别是在对治疗和研究方法的影响方面。我认为疾病模型与研究方法之间存在密切关系，例如，严格执行现行的对照临床试验方法可能会维持一种过时的疾病模型。应鼓励源自对疾病情境性理解的实践指南，为此，全科医疗需要发展一系列适合其独特专业角色的研究方法。
