家庭医学文凭-香港医学会课件.pptVIP

Diploma / Master inFamily Medicine家庭醫學文憑 /碩士課程Department of Community and FamilyMedicineFaulty of MedicineThe Chinese University of Hong Kong1 Origin of family medicine家庭醫學的起源vIn the past, doctors practised as generalists在過去， 醫生擔當了全科醫生的角色vAfter WW2, decline of infectious diseasesand tremendous advance in technologyleading specialization第二次世界大戰之後， 傳染病減少以及迅速的科技發展使醫學更趨專門化 Origin of family medicine家庭醫學的起源v Patients are not the best judge which specialist they should see.病人不知道應該去看什麼專科醫生v Despite increase in health care expenditure, it cannot satisfyconsumer need.儘管在健康護理方面的開支不斷增加， 病人的需要還是不能得到滿足v People began to realise the need of family physicians lookingafter them in their natural environment and guide them towardsthe right specialists if needed.人們開始意識到家庭醫生的重要性。 家庭醫生不但能在一個比較輕鬆自然的環境裡照顧病人，候把病人轉介到專科醫生門診。而且也能在必要的時 於一個月病患及使用醫療服務的狀況出現健康危機的成 年人口患病或受傷報告到醫生處求診入院轉介醫療專科中心 Special features of Family Medicine Practice(家庭醫學的特點 )v Highly prevalent health problems in family practiceare not life threatening not really considered asdiseases by hospital clinicians but illnesses bypatients對於基層醫療中十分普遍、但非致命的健康問題，醫院專科醫生並不特別認為是「疾病」，而只是病人的不適。v Not all clinical presentations would lead to establisheddiagnoses並不是所有的臨床表徵都能有確定的診斷。v Most are undifferentiated problems at early stage withless classic presentations大部份病人的問題屬於早期、尚未歸類，亦缺乏典型臨床表徵。 Special features of Family Medicine Practice(家庭醫學的特點 )v Unique difficulties of diagnosing disease whichpresents in an early, undifferentiated form and of itsmanagement outside specialized hospital units withlimited facilities for investigation疾病在早期、未歸類的時候，在醫院以外及有限化驗設施的前提下，對診斷及治療都構成獨特困難。v Multiple problems, how to prioritize?在多種臨床問題中，哪些應優先處理？v Methods of disease prevention and health promotionin the community.社區中疾病預防及健康推廣的方法。 The Content of Family Medicine家庭醫學的範疇v A specialty in breadth, rather thandepth and acting across clinicalboundaries and sectors.家庭 醫學 服務的特質注重其涵蓋度多於其深度，更不限於醫療界別之。 A Charter for Family Medicine in Europe - WHO Regional Office:By the year of 200