家庭医学的作用原则与能力 - Family Medicine Principles and.ppt

All claims are well documented: Better health outcomes (Forest, 1996; Chande, 1996; Starfield, 1998) Increased use of disease-focused preventive care (e.g., blood pressure screening, mammograms, pap smears, etc), (Bindman, 1996) Fewer patients admitted for preventable complications of chronic disease (Shea, 1992) Lower all cause mortality (Shi, 2003; Franks, 1998; PAHO 2005) Fewer consultations with specialists (Woodward, 2004) Less use of emergency services (Gill, 2000) * All claims are well documented: Less re-hospitalization (Weinberger, 1996) Better detection of adverse effects of interventions (Rothwell, 2005; Kravitz, 2004) Better understanding of psychological aspects of a patient’s problem (Gulbrandsen, 1997) Protection against overtreatment (Schoen, 2007) More efficient use of resources (Forest, 1996; Forest, 1998Roos, 1998) Better compliance and lower hospitalization rate (Weis, 1995; Rosenblatt, 1998; Mainus, 1998) Other benefits as well * * Knowledge Base Specialist Knowledge is deep in one area FP’s knowledge is broad in many areas * Knowledge Base Specialist Knowledge is deep in one area FP’s knowledge is broad in many areas Total knowledge is comparable Evidence Based Medicine循证医学 Knowing the questions to ask 知道要问的问题 Identifying the best evidence to answer the questions 找出回答问题的最好依据 Assessing the evidence for validity and usefulness 评估证据的有效性和有用性 Applying the results to clinical/hospital practice 将结论应用于门诊或住院医疗 Evaluating the results 评估结果 * General Practice Competencies全科医学的能力 There is a wide range of possible skills for GPs 全科医生可掌握的临床技巧很广泛 Different countries choose different skills to meet their own needs 不同的国家根据本国的需要选择不同的临床技巧 The basic role of GP remains the same in each country全科医生的基本任务在每个国家仍然是一致的 This next section will show you some of the skills we train GPs to do in the USA 下一部分将向您介绍美国全科医生被训练的部分技能 * Whom and what do we treat?我们给谁治疗，治疗什么？ All ages and Both sexes所有的年龄和性别 * Obstetrics产科学 (Will go into more