STRATEGY OF PREVENTION - LESSONS FROM CARDIOVASCULAR-DISEASE
STRATEGY OF PREVENTION - LESSONS FROM CARDIOVASCULAR-DISEASE
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DOI：
10.1136/bmj.282.6279.1847
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发表时间：
1981-01-01
影响因子：
105.7
通讯作者：
ROSE, G
中科院分区：
文献类型：
--
作者：
ROSE, G
如果产科医生患有子痫，他会问：“出了什么问题？”发生可预防的灾难是对其职业声誉的威胁，因为产科医生将预防视为其正常职业责任的组成部分。事实上，产前护理在很大程度上是预防性的，预防与治疗的结合导致了孕产妇和围产儿死亡率的极大下降。在儿科也是如此，预防和治疗之间也没有界限之争；在普通医学中也出现了类似的趋势。如果中风发生在未经治疗或治疗不佳的高血压患者身上，一个好的全科医生会问：“哪里出了问题？”因为，至少在中年时期，中风基本上是可以预防的。当发生这种情况时，它意味着实践组织可能失败了。
If an obstetrician had a case of eclampsia he would ask," What went wrong?" The occurrence of a preventable disaster is a threat to his professional reputation, for an obstetrician accepts prevention as an integral part of his normal professional responsibilities. Antenatal care is in fact largely preventive, and the integration of prevention with treatment has led to an excellent fall in maternal and perinatal mortality rates. In paediatrics too there are no demarcation disputes between prevention and treatment; and a similar trend is now also appearing in general practice. If a stroke occurs in an untreated or badly treated hypertensive patient, a good general practitioner asks," What went wrong?" For, in middle age at least, strokes are largely preventable. When one occurs it suggests a possible failure of practice organisation.