Sloan D S
BMJ. 1993 Sep 4;307(6904):615-7. doi: 10.1136/bmj.307.6904.615.
Travel medicine becomes more important with the continual expansion of international travel and the increased popularity of exotic holiday destinations. In the United Kingdom general practitioners provide the bulk of travel health advice and immunisation and there is growing interest in providing these services. While their armamentarium has been expanded with attractive but expensive new vaccines, the need for health service advice has never been more vital, with the risks of HIV infection and drug resistant malaria. Advantages of a general practice based travel medicine service include maintaining continuity of care for the patient, but a disadvantage might be that the general practitioner sees too few patients to acquire enough skill in the subject. Furthermore, there may be a conflict of interest between time devoted to the "vaccination ritual" and giving health advice. Overall there seems to be a case for both audit and support by the health authorities.
随着国际旅行的不断扩展以及异国度假目的地越来越受欢迎，旅行医学变得越发重要。在英国，全科医生提供大部分的旅行健康建议和免疫接种服务，并且人们对提供这些服务的兴趣日益浓厚。虽然有了吸引人但昂贵的新型疫苗来扩充他们的医疗手段，但鉴于感染艾滋病毒和耐药疟疾的风险，对医疗服务建议的需求从未像现在这样至关重要。基于全科医疗的旅行医学服务的优点包括为患者保持连续护理，但缺点可能是全科医生看诊的患者太少，无法在该领域获得足够的技能。此外，在用于“疫苗接种程序”的时间和提供健康建议之间可能存在利益冲突。总体而言，卫生当局似乎有必要进行审核和提供支持。
