全科医学笔记.pdfVIP

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全科医学整理——JEODY ALL ABOUT LIFE 目录 TheOriginsof FamilyMedicine2 TheEnhancementofHealthandthePreventionof Disease 4 Illness intheCommunity8 PracticeManagement TheFamilyinHealthand Disease18 AProfileofFamilyPractice ClinicalMethod4 Doctor–PatientCommunication2 1 全科医学整理——JEODY ALL ABOUT LIFE TheOriginsofFamilyMedicine  Medicinehasbeenchangingconstantly,medicinechangesinresponsetomanyinfluences: 1. Scientificprogress 2. Technicalrenovation 3. Socialdevelopment  Ne disciplinesariseinanumberofways: 1. Fromancientcraftskills(surgery,obstetrics) 2. Basedonne technology(otolaryngology,anesthesiology) 3. Basedonneeds(childhealth)  Ne disciplinesbegininthreeways: 1. Transformationfromanolderdiscipline (老学科的转化) 2. Denovo (从头开始) 3. Fragmentationfromanlargerdiscipline (大学科的分支)  Changesinmortalityandmorbidity 1. Successfulcontrolofmajor infectious disease -emergenceofne patterns ofdiseases: chronic diseases, development disorders, behavioral disorders, accidents and different rangeofinfectiousdiseases; 2. Thereducedmortality-increasedpopulationofelderlypeopleinsociety.  Ne DevelopmentintheBehavioralScience 1. Recent development in behavioral and social sciences are important to medicine as a wholeparticularlytofamilymedicine 2. Patient’sbehavior:seekingmedicalcare Physician’sbehavior: decisionmaking andprescribing-physicians themselvesbecame theobjectiveofstudy  AboutHistory  The term general practitioner was first used in the Lancert early in the 19th century. The generalpractitionerbornin 18th-centuryAmericaandnamedin 19th-centuryBritain. 1. In Europe

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