全科医学笔记.docxVIP

全科医学整理——JEODY ALL ABOUT LIFE PAGE 1 目录 TOC \o 1-3 \h \u 21064 The Origins of Family Medicine 2 23795 The Enhancement of Health and the Prevention of Disease 4 31486 Illness in the Community 8 22565 Practice Management 11 1676 The Family in Health and Disease 18 9910 A Profile of Family Practice 1 3398 Clinical Method 4 26845 Doctor–Patient Communication 2 The Origins of Family Medicine Medicine has been changing constantly, medicine changes in response to many influences: Scientific progress Technical renovation Social development New disciplines arise in a number of ways: From ancient craft skills (surgery, obstetrics) Based on new technology (otolaryngology, anesthesiology) Based on needs (child health) New disciplines begin in three ways: Transformation from an older discipline（老学科的转化） De novo（从头开始） Fragmentation from an larger discipline（大学科的分支） Changes in mortality and morbidity Successful control of major infectious disease - emergence of new patterns of diseases: chronic diseases, development disorders, behavioral disorders, accidents and different range of infectious diseases; The reduced mortality - increased population of elderly people in society. 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 About History The term general practitioner was first used in the Lancert early in the 19th century. The general practitioner born in 18th-century America and named in 19th-century Britain. In Europe and North America the 19th century was the age of the general practitioner, most members of the profession were general practitioners, including faculties of medical schools; Progress of the sciences gave an impact on medicine, but medical education was divorced from the scientific foundati