临床医学与公共卫生的协同作用

D. Maher
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引用次数: 0

摘要

公共卫生护理和社区卫生护理都涉及到对临床护理和公共卫生之间关系的理解(方框1)[1]。最近的一份出版物强调了临床医学与公共卫生之间的协同作用[2]。本评论提出了这些协同作用可能与公共卫生护理和社区卫生护理人员的作用相关的方式。许多公共卫生护理和社区卫生护理从业者都有临床护理经验,或者将临床护理工作与公共卫生和社区实践相结合,因此能够很好地识别和利用机会,最大限度地提高个人和人群的健康效益,这可能是缩小护理与公共卫生之间的差距所带来的。不同的卫生系统(通常是在个人卫生系统内)在提供初级、中级和三级护理和公共卫生服务方面,以及在护理与公共卫生之间的互动方面,存在着相当大的差异。因此,促进护理与公共卫生协同作用的机会需要在特定情况下考虑护理提供和公共卫生提供。
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Synergies between Clinical Medicine and Public Health
Public health nursing and community health nursing both involve an understanding of the relation between clinical care and public health (Box 1) [1]. A recent publication has highlighted the synergies between clinical medicine and public health [2]. The present commentary suggests ways in which these synergies may be relevant to the role of those engaged in public health nursing and community health nursing. Many practitioners of public health nursing and community health nursing have previous experience of clinical nursing, or combine work in clinical nursing with public health and community practice, so are well placed to identify, and capitalize on, opportunities to maximize the individual and population health benefits which may arise from closing the gap between nursing care and public health. There is considerable variation between different health systems (and often within individual health systems) in provision of care at primary, secondary and tertiary levels and public health delivery, and between the interactions between nursing care and public health. The opportunities for promoting synergy between nursing care and public health therefore require consideration of care provision and public health delivery in particular contexts.
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