杜亚平《全科医学》第1讲 FM概论.pptVIP

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2017-05-16 发布于浙江
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杜亚平《全科医学》第1讲 FM概论.ppt

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Role of Family Doctor Family doctor become a key figure in the organization of health care Integration of service become essential to conserve resources and eliminate waste (family doctor-”Gatekeeper”). Horizontal integration-working as team members with other health professionals Vertical integration-collaboration between the three levels of care New Development in the Behavioral Science Recent development in behavioral and social sciences are important to medicine as a whole particularly to family medicine Patient’s behavior: seeking medical care Physician’s behavior: decision making and prescribing－physicians themselves became the objective of study New Development in the Behavioral Science Increased insights into doctor-patient relationship,family relationship, behavioral aspects of illness; Changed concepts of health, disease and illness, the role of physician and the ethics of medicine Behavioral and social factors involved in causation of diseases as well as cure of diseases. Summary General/family medicine is a relatively new academic and clinical discipline Family medicine has developed from general practice The development of family medicine has been based on the social, economic and health needs providing better service for the people. Introduction to Family Medicine 杜亚平duyp@zju.edu.cn 2014.2.24 《全科医学》不仅是一门课程，它是社会和医学发展密切相关的重要组成部分主要问题现状未来（20年后）还存在？经济增长 GDP7.7% 不可能房价人均35方，“鬼城”现象显现 1人2房失业 5% 8% 教育小班化由低到高蔓延总量控制结合调整通胀低于GDP增长，约3% 维持现状养老老年化14% 更趋严重至25% 医疗卫生费用占GDP5% 看病难看病贵过去30年和未来20年不变引入新制度化解矛盾哪些民生问题20年后还存在？ Text books Ian R McWhinney: A Textbook of Family Medicine Oxford University Press 余海主编：全科医学导论四川科技出版社 Terminology 全科(家庭)医学 General /Family Medicine 全科(家庭)医疗 General/ Family Practice 全科(家庭)医生 Family Physician/Doctor 通科医生 General Practitioner The Origins of FM English Part I Chapter 1 (pp 1-12) 《导论》第一章第一、二节（1-5页） Background- Medicine Medicine has been changing constantly, medicine changes in response to many