Fabb W E, Chao D V, Chan C S
Department of Community and Family Medicine, Chinese University of Hong Kong, Shatin, Hong Kong.
Fam Pract. 1997 Feb;14(1):5-11. doi: 10.1093/fampra/14.1.5.
The trouble with family medicine is that the perceptual framework it uses to view the phenomena of health and illness is at variance with the frameworks traditionally used by medicine generally. This creates difficulties in communication between those in family medicine and those in other disciplines, and sometimes leads to misunderstanding of the nature of the discipline of family medicine and its place in the health care system. Those who practise family medicine need to be 'multilingual', able to understand and speak the language and use the metaphors of family medicine, yet equally able to use the language and metaphors of other disciplines.
This paper, which begins with a clinical scenario, reviews the contemporary biomedical paradigm, proposes an alternative, and examines the conceptual frameworks which underpin the discipline of family medicine.
家庭医学存在的问题在于，它用以看待健康与疾病现象的认知框架与医学通常传统使用的框架不一致。这给家庭医学从业者与其他学科从业者之间的沟通造成了困难，有时还会导致对家庭医学学科性质及其在医疗保健系统中地位的误解。从事家庭医学的人员需要“会多种语言”，既能理解并运用家庭医学的语言和隐喻，又同样能运用其他学科的语言和隐喻。
本文从一个临床案例入手，回顾当代生物医学范式，提出一种替代范式，并审视支撑家庭医学学科的概念框架。
