全科PPT整理.docVIP

目录 1.Introduction 1 2.The Enhancement of Health and the Prevention of Disease（P179-227） 4 3.Illness in the Community （P29-36） 10 4.Family Practice Management 1（P411-419） 13 5.Family Practice Management 2（P418） 19 6.The Family in Health and Disease（P229-260） 23 7.A Profile of Family Practice（第4章） 31 8.Clinical Method （P129-178） 37 1.Introduction（导论） 1.Introduction to Family Medicine(全科医学简介-历史发展) Terminology(术语) 全科(家庭)医学 General /Family Medicine 全科(家庭)医疗 General/ Family Practice 全科(家庭)医生 Family Physician/Doctor 通科医生 General Practitioner Background- Medicine Medicine has been changing constantly, medicine changes in response to many influences: Scientific progress(科学进步) Technical renovation(技术革命) Social development Background-New discipline(新学科) New disciplines arise in a number of ways: From ancient craft skills (surgery, obstetrics)/来自古老的工艺技术(外科,产科) Based on new technology (otolaryngology, anesthesiology)/(耳鼻喉科，麻醉学) Based on needs (child health) Family medicine developed under all of above influences New disciplines begin in three ways: Transformation from an older discipline De novo/重新建立 Fragmentation from an larger discipline/从主学科中分支而出 Family medicine has evolved from older branch of medicine-general practice/由…进化来 Background- Changes in mortality and morbidity(死亡率和发病率的改变) Successful control of major infectious disease - emergence of new patterns of diseases: chronic diseases, development disorders, behavioral disorders, accidents and different range of infectious diseases; The reduced mortality - increased population of elderly people in society. A person afflicted with mortal infection-died or recovered in a short period of time (life or death); afflicted with chronic disorders-to adapt changed environment. Role of practitioners- to help patients to achieve a new equilibrium with their environment in the face of chronic diseases or disability;/获得新的平衡 The modern medical profession has not existed until the 19th century, before that time in Europe: Physici