全科医学笔记.pdf

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1、全科医学整理——JEODYALLABOUTLIFE目录TheOriginsofFamilyMedicine..........................................................2TheEnhancementofHealthandthePreventionofDisease.......4IllnessintheCommunity.................................................................

2、......8PracticeManagement............................................................................11TheFamilyinHealthandDisease.....................................................18AProfileofFamilyPractice............................................

3、......................1ClinicalMethod.......................................................................................4Doctor–PatientCommunication............................................................21全科医学整理——JEODYALLABOUTLIFETheOriginsofFa

4、milyMedicineMedicinehasbeenchangingconstantly,medicinechangesinresponsetomanyinfluences:1.Scientificprogress2.Technicalrenovation3.SocialdevelopmentNewdisciplinesariseinanumberofways:1.Fromancientcraftskills(surgery,obstetrics)2.Basedonnewtechnology(o

5、tolaryngology,anesthesiology)3.Basedonneeds(childhealth)Newdisciplinesbegininthreeways:1.Transformationfromanolderdiscipline（老学科的转化）2.Denovo（从头开始）3.Fragmentationfromanlargerdiscipline（大学科的分支）Changesinmortalityandmorbidity1.Successfulcontrolofmajorinfe

6、ctiousdisease-emergenceofnewpatternsofdiseases:chronicdiseases,developmentdisorders,behavioraldisorders,accidentsanddifferentrangeofinfectiousdiseases;2.Thereducedmortality-increasedpopulationofelderlypeopleinsociety.NewDevelopmentintheBehavioralScienc

7、e1.Recentdevelopmentinbehavioralandsocialsciencesareimportanttomedicineasawholeparticularlytofamilymedicine2.Patient’sbehavior:seekingmedicalcarePhysician’sbehavior:decisionmakingandprescribing－physiciansthemselvesbecametheobjectiveofstudyAboutHistory

8、ThetermgeneralpractitionerwasfirstusedintheLancertearlyinthe19thcentury.Thegeneralpractitionerbornin18th-centuryAmericaandnamedin19th-centuryBritain.1.InEuropeandNorthAmericathe19thcenturywastheageofthegeneralpractitioner,mostmem