社会关怀和全科医生的作用

Gerry V. Stimson
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引用次数: 16

摘要

英国全科实践被视为一个案例研究的方式,其中新的关注领域来被视为在医生的能力范围内。在定义全科医学的主题时,著名的英国医生指出了将全科医学与其他医学领域区分开来的社会取向。这种松散定义的社会取向似乎包括几个主题。一方面,人们认识到社会关系、疾病和疾病行为中的社会因素以及疾病的社会原因;另一方面,人们感到有责任照顾疾病的社会后果、社会福利问题以及社会或心理治疗护理。参与社会护理提出了一些关于全科医生的角色的问题,这些问题还没有被那些讨论过社会取向的医生所探讨。在一个层面上,提供医疗和社会护理与与其他护理工作者的关系之间存在冲突的实际问题,但在更基本的层面上,我们对社会问题的社会政治方法存在根本问题。
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Social care and the role of the general practitioner

United Kingdom general practice is taken as a case study of the way in which new areas of concern come to be seen as within the sphere of competence of doctors. In defining the themes of general practice, prominent U.K. practitioners have pointed to a social orientation which distinguishes general practice from other areas of medicine. This loosely defined social orientation appears to include several themes. On the one hand there is an awareness of social relationships, social factors in disease and illness behaviour, and of the social causes of disease, and on the other, a feeling for a responsibility for caring for the social consequences of diseases, for social welfare problems, and for socio- or psychotherapeutic care. An involvement in social care raises certain questions about the role of the general practitioner which have not been explored by those doctors who have discussed this social orientation. At one level there are practical problems of the conflict between the provision of medical and social care and the relationship with other care workers, but at a more basic level there is a fundamental question concerning our socio-political approach to social problems.

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