FAMILY MEDICINE IN PERSPECTIVE

FAMILY MEDICINE IN PERSPECTIVE
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DOI:
10.1056/nejm197507242930405
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发表时间:
1975-01-01
影响因子:
158.5
通讯作者:
MCWHINNEY, IR
MCWHINNEY, IR
中科院分区:
医学1区
文献类型:
--
作者:
MCWHINNEY, IR

文献摘要

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家庭医学是医学根据社会不断变化的需求进行自我调整的过程的一部分。家庭医生的共同点是,他们更多地从人际关系中获得满足,而不是从医学技术方面获得满足。他们的承诺是对一群人的承诺,而不是对知识体系的承诺。他们的经历使他们对疾病有独特的看法,包括其个人和社会背景。医学知识包括信息、技能和洞察力。医学教育倾向于强调前者:关注前景而不是背景。在家庭医生的培训中,教育环境和指导者的作用至关重要。 (新英格兰医学杂志 293:176–181,1975)
Family medicine is part of the process by which medicine adjusts itself to the changing needs of society. Family physicians have in common the fact that they obtain fulfillment from personal relations more than from the technical aspects of medicine. Their commitment is to a group of people more than to a body of knowledge. Their experience gives them a distinctive perspective of illness that includes its personal and social context.Medical knowledge includes information, skill and insight. Medical education has tended to emphasize the former: to concentrate on foreground rather than background. In the training of family physicians the education setting and the role of instructors are of crucial importance. (N Engl J Med 293:176–181,1975)