Haq C, Ventres W, Hunt V, Mull D, Thompson R, Rivo M, Johnson P
Department of Family Medicine, University of Wisconsin Medical School, Madison, USA.
Acad Med. 1995 May;70(5):370-80. doi: 10.1097/00001888-199505000-00012.
Family physicians are generalists trained at the postgraduate level to address the majority of primary care needs of patients of all ages in communities they serve. Throughout the world there is a need for family physicians to serve as cornerstones of comprehensive health care systems that provide high-quality, cost-effective medical and public health services to the entire population. To meet this need, each country must value and adequately finance essential medical and public health services and must provide family physicians with a thorough education focused on the relevant health care problems of the population being served. The authors present an overview of the status of this training throughout the world, outline challenges to the development of such training, and suggest strategies for successful development accompanied by illustrative case studies from South Korea, Venezuela, and Pakistan.
家庭医生是经过研究生阶段培训的全科医生,能够满足他们所服务社区中各年龄段患者的大多数初级保健需求。在全世界,都需要家庭医生作为综合医疗保健系统的基石,为全体民众提供高质量、具有成本效益的医疗和公共卫生服务。为满足这一需求,每个国家都必须重视并为基本医疗和公共卫生服务提供充足资金,还必须为家庭医生提供全面教育,使其专注于所服务人群的相关医疗保健问题。作者概述了全球这种培训的现状,勾勒了这种培训发展面临的挑战,并提出了成功发展的策略,同时列举了来自韩国、委内瑞拉和巴基斯坦的实例。