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TheEnhancementofHealthandthePreventionofDisease
(P179-227)
杜亚平duyp@
2014年3月3日
ExampleforFamilyMedicinePaperTest
(Nov.6)一.BestChoice(Score1foreach)()1.Whoareinanbestpositionforhelpingpatientstoimprovetheirhealth?A.Physicians B.GynecologistsC.Paediatricians D.GPs二.MultipleChoices(Score2foreach()1.Whichcanbelistedastheminorproblems?A.CoughfortwodaysB.BackpainfortwodaysC.HighfeverfortwodaysD.TiredfeelingfortwodaysE.Redurinefortwodays三.NameExplanation(Score3foreach)1.WONCA2.Primaryprevention四.Question(Score10-15foreach1.Howmanydimensionsarethereinthecontinuityofcare?
GPsareinanunrivaledpositionforimprovehealthPGsseeeachoftheirpatients,ontheaverage,threeorfourtimesayear.Manyofthesevisitsareforselflimitingproblemsinhealthypeople.Theyprovideanexcellentopportunityforhealthcounselingandtheearlydetectionofdisease.Becauseoftheirpersonalknowledgeofpatientsandtheirfamilies,GPsmaybeawareofresources,bothinnerandouter,thatareimportantforthemaintenanceorrecoveryofhealth.Insecondaryprevention,theycantakeresponsibilityforthewholeprocess,fromcasefindingthroughinvestigationtomanagementoftheproblem.
GeneralPrinciplesSomepreventiveservicesforindividuals.Othersforcommunitiesandpopulations.ForGPsinmanycommunities,theepidemicofdiabetescallsforworkatthecommunitylevelaswellasthecareofindividualpatients.
PreventiveservicesforindividualsPrimarypreventionincreasesaperson’sabilitytoremainfreeofdiseaseSecondarypreventionBetheearlydetectionofdiseaseorprecursorsofdisease-sothattreatmentcanbestartedbeforeirreversibledamagehasoccurredTertiarypreventionBethemanagementofestablisheddiseasesoastominimizedisability.
Measurestomaintaincommunitiesandpopulations’healthinclude:CleanwaterFoodinspectionSanitationWaste
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