家庭医学的作用原则和能力要点.ppt

Our Clinic and Hospital我们的诊所和医院 * What is a typical week like for a family medicine doctor?(Statistics from 2008)一个家庭医生典型的一周工作（2008年统计） 84.9 patients per week! (how many in China?) 每周84.9个病人(中国多少?) 8.1 hospital patient visits per week 每周看8.1个住院病人 2.3 nursing home patients 每周2.3个养老院病人访视 0.6 home visits 每周0.6个家庭访视 7.5 Patients Supervised under home health care 7.5个家庭照顾指导 9.6 Nursing home patients supervised 9.6个护理院病人指导 2.1 Hospice patients supervised 2.1个临终关怀病人指导 9.5 patients with free or discounted care 9.5个减免费的病人 51 hours a week 每周工作51 个小时 Approximately 2500 patients cared for (800 families) 大约需要照顾2500个病人（800个家庭） * Why is GP the specialty of the 21st Century?为什么全科医学会成为21世纪的专科？ Cost effective 符合成本效益原则 Satisfying for the patient 患者满意度高 Satisfying for the GP! 全科医生满意 Emphasis on prevention 强调预防 Treating the patient in the context of the family 在病人的家庭背景下治疗 Whole person medicine全人模式的医学 Systems based approach 以医疗体系为基础的方法 * Thank You!谢谢！ * Old slide: Major medical centers waiting for Beijing to decide what model and what training program * Don’t misunderstand me! GPs practice the best of modern medicine but it includes principles in the approach to the patient that the practitioners of traditional Chinese medicine will be familiar with. * Residency provides Development of a wide range of diagnostic and procedural skills Awareness of developments in other specialties in order to take advantage of them for their patients Knowledge of how to use the entire medical system for the benefit of their patients Understanding of whole person care using the bio-psycho-social-spiritual model of health * * * 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 All claims are well documented: Better health outcomes (Forest, 1996; Chande, 1996; Starfield, 1998) Increa