《中国全科医学》征稿征订启事

《中国全科医学》是卫生部主管,中国医院协会主办的全科医学专业学术性刊物,为中国科技部核心期刊、中国科学引文数据库来源期刊。《中国全科医学》为半月刊,主要栏目及刊登内容:述评、专家论谈、海外专论、全科医学病例讨论、全科医疗工作研究、全科医学教育与模式探索、论著、课题研究、首诊处方与治疗方案、诊治思路、会诊转诊、全科医疗/社区卫生服务研究、社会·行为·心理、健康教育与健康促进、康复与护理、用药指导、急诊急救、临床误诊分析与提示、全科医生技能发展、全科医生札记、政策研究、重点人群健康管理、慢病管理、卫生经…     

论发展我国全科医学

本文从全科医学的特点,国际发展状况,发展全科医学的必要性、可行性,建立全科医学教育结构等方面,论述了发展全科医学问题。指出发展全科医学是适应疾病谱、医学模式改变和人口老龄化的需要,是适应“２０００年人人享有卫生保健”的需要,是适应我国发展新型服务的需要。认为我国三级医疗保健网为发展全科医学提供了组织保证。最后从全科医学层次、过程、内容和职称结构方面讨论了发展、建立全科医学的教育结构体系模式问题。     

我国全科医学的学科定位与社区卫生建设的关系

随着许多医学院校定向培养到基层医疗机构工作的医生,基层医疗机构与全科医学紧密联系起来.从我国全科医学的学科定位、全科医学与社区卫生建设的关系、全科医学教育的社区实践三方面进行论述,指出全科医学在当今世界已成为一门标准化科学,属于临床医学,而目前我国全科医学不具有学科的独立性;全科医学人才的培养目标模糊,出现"全科是退而求其次"的状况;社区卫生建设跟不上人才培养的需要.因此,需要促进我国全科医学独立性的形成,专门培养全科医学人才,加强社区卫生建设.     

家庭医学是全科医学的发展--台湾地区的家庭医学

全科医学的发展在欧洲已有数百年的历史,在美国也有一个世纪之久。在我国,继１９８９年与１９９３年两度在北京举行的国际全科医学研讨会之后,１９９９年３月６～１１日在台北市召开了海峡两岸家庭医学／全科医学学术研讨会,台湾地区出席会议代表１２００人,大陆地区...     

全科医学的兴起与医学科学的发展

全科医学的兴起与医学科学的发展中华医学会（１００７１０）马凤云全科医学,顾名思义是不分科的医生。是对病人进行全身心诊治的医生。国际上也称之谓家庭医生。我国古老的中医传统医学理论就是在整体防病、治病的基础上发展起来的。几千年的医疗实践都是推崇全身心诊断...     

医学的整合与全科医学

大量慢性非传染性疾病的处置涉及许多医学分科,还涉及心理、社会学科.临床医学应重视预防,医学要与人文精神结合.全科医学是整合了生物医学、行为科学和社会学科的医学分科,全科医学不强调分科而强调以人为本.应重视其对医学其他分科的启迪作用.     

发展我国全科医学的战略思考

发展我国全科医学的战略思考四川省自贡市第三人民医院（６４３０２０）刘勇困难和对策我国临床医学的发展,已开始注意到了全科医学的重要性,北京于１９９０年成立了“北京全科医学会”,开始了全科医学的实践和探索,陈敏章部长在北京第一届国际全科医学学术会议上对全...     

我国全科医学教育的再定位

全科医学起源于１８世纪的欧美,作为学科则正式建立于２０世纪６０年代的美国,它是集生物医学、临床医学、行为科学和社会科学于一体的综合性学科,是立足以个人为中心,突出以家庭为单位,重点以社区为范畴的医疗保健服务模式。全科医学的兴起是医学和社会发展的必然结...     

第四讲：循证医学与急救医学

急诊医学是一门新兴学科,在借鉴国外先进经验的同时,自身也得到迅速发展。急诊医学作为医疗和社会保障体系的重要部分,在抢救急危重症病人生命、应对灾害和突发事件中发挥了极为重要的作用。急诊科的工作特点是病情急、病人急、病人家属急和医生的急救处理,因此,要求急诊科医生     

急诊医学临床教学现状与对策

急诊医学是一门新兴的跨专业临床学科,在临床教学方面存在诸多不足.因此对于如何提高急诊医学的临床教学质量,完善临床教学方法就尤为重要.本文结合急诊医学的特点与临床带教中常遇到的问题,对如何提高学生解决问题的能力以及提升临床教学水平进行探讨.     

The Admissibility of Research in Emergency Medicine

The main goal in this paper is to present the legal rules connected with medical experiment on human beings in emergency medicine and to explain the scope, significance, and meaning of these rules, especially with regard to their interpretation. As the provisions about medical experiments truly make sense only if they can be observed by the whole "civilised" international community, they are presented in the context of international law with reference to Polish law. By considering the appropriate regulations of research contained in legal documents, it is possible to formulate a catalogue of doctors' duties and patients' rights. This general catalogue refers to all kinds of medical research involving human beings. In the field of emergency medicine, general provisions are sometimes involved, and they are sometimes limited. The main and most important conclusion is that a medical experiment in emergency medicine is admissible only if previously indicated conditions based on general rules of conducting research are fulfilled.     

急诊医疗中的知情同意问题

急诊医疗中的知情同意似乎与通常的临床情形不同,它不需要完全的知情同意,甚至可以被免除。这一特点可能给人以一种印象,即在急诊情况下对知情同意的考量,或可与其他情形有所不同。其实急诊情形下之所以出现知情同意的例外或免除,并非知情同意原则在急诊情况下不适用,或者是知情同意原则做出了让步。真正的原因是,知情同意在急诊治疗中往往以特殊或不同的形式表现出来。     

骨髓造血干细胞移植治疗自身免疫性疾病的进展

本土化研究是当前世界人文社会科学发展的必然趋势,也是中国传统心理治疗思想发展的唯一出路。近百年来,随着西学热潮的兴起和现代西方心理治疗方法的涌入,我国心理学工作者和中医学工作者为了保护传统文化中的心理治疗思想,对其开展了广泛的研究,经历了萌芽阶段、曲折发展阶段、活跃阶段和繁荣阶段等四个时期。随着研究队伍的融合,未来的研究将不断凸显其自身特色,自身体系,并逐渐走向临床应用。     

Mobbing: its relationships with organizational culture and personal outcomes

A study dealing with the effects of both organizational culture and mobbing on personal and organizational outcomes of a sample of Spanish emergency workers, is reported here. It was found that there is a strong impact of organizational culture dimensions on mobbing, and that mobbing affects job satisfaction, organizational commitment and organizational citizenship behaviour. Results concerning organizational commitment show that this variable is not a mere effect of mobbing in general, but rather that it is also a direct impact of culture on this outcome.     

The role of attitudes and beliefs in differential health care utilisation among Chinese in Singapore

Abstract One hundred and twenty-eight Chinese patients at two Western medical practices and two Chinese medical practices in Singapore completed a questionnaire regarding perceptions of illnesses. Health beliefs and attitudes towards different medical practitioners. Results indicate significant differences between those who consult only allopathic physicians (Western doctors) and those who consult both practitioners of traditional Chinese medicine (sinsehs) and Western doctors. Individuals consulting both Western doctors and sinsehs perceived a smaller proportion of "general" illness attributes (those found in both Western and Chinese medicine) to be relevant to specific diseases and showed greater endorsement of Chinese health beliefs than did individuals seeking help only from Western doctors. Also individuals consulting both types of practitioners expressed less satisfaction with the doctor's treatment than did those consulting only Western doctors and also rated sinsehs as more concerned with patient well-being and as listening more to their patients.     

Spiritual Care: Define and Redefine Self

Spiritual care is deep rooted in the traditional ancient system of medicine. However, due to lack of high grade evidences, practitioners of modern system of medicine are hesitant to inculcate spirituality in their clinical practice. This paper is an attempt to basic understanding of spiritual care therapy, current evidences for it and the challenges for incorporation in the allopathic system of medicine.

     

Bernard Shaw and the doctors: The art and science of medicine inThe Doctor's Dilemma

What did Bernard Shaw really think about doctors? Although any reader with a sketchy understanding of Shaw's work is inclined to think that he condened the entire profession, a careful reading of his most well-known play featuring medical practitioners reveals a mixed attitude. InThe Doctor's Dilemma, one finds a position that may be representative of Shaw's attitude. In this play, he places the entire Edwardian medical establishment—consultants and general practitioners — on stage, and he focuses the attention of this diverse group on the problem of a patient. In doing so, Shaw is able to separate the play's characters into representatives of (1) the newscientific medicine and (2) the venerableart of medicine. He satirizes the arrogance of the former, and he presents the humane attitude of the latter in a favorable light.     

Adjustment issues affecting employment for immigrants from the former soviet union

This article describes major issues, including culture shock and loss of status, that affect general adjustment of immigrants and refugees from the former Soviet Union who are resettling in the United States. Issues that affect career and employment adjustment are described and the interrelatedness of general and career issues is explored. Practical and positive suggestions for practitioners working with this population are offered.     

The role of attitudes and beliefs in differential health care utilisation among Chinese in Singapore

Abstract

One hundred and twenty-eight Chinese patients at two Western medical practices and two Chinese medical practices in Singapore completed a questionnaire regarding perceptions of illnesses. Health beliefs and attitudes towards different medical practitioners. Results indicate significant differences between those who consult only allopathic physicians (Western doctors) and those who consult both practitioners of traditional Chinese medicine (sinsehs) and Western doctors. Individuals consulting both Western doctors and sinsehs perceived a smaller proportion of “general” illness attributes (those found in both Western and Chinese medicine) to be relevant to specific diseases and showed greater endorsement of Chinese health beliefs than did individuals seeking help only from Western doctors. Also individuals consulting both types of practitioners expressed less satisfaction with the doctor's treatment than did those consulting only Western doctors and also rated sinsehs as more concerned with patient well-being and as listening more to their patients.     

Affirming the Existential within Medicine: Medical Humanities, Governance, and Imaginative Understanding

This paper first distinguishes governance (collective, autonomous self-regulatory processes) from government (externally-imposed mandatory regulation); it proposes that the second of these is essentially incompatible with a conception of the medical humanities that involves imagination and vision on the part of medical practitioners. It next develops that conception of the medical humanities, as having three distinguishable aspects (all of them distinct from the separate phenomena popularly known as "arts-in-health"): first, an intellectual enquiry into the nature of clinical medicine; second, an important dimension of medical education; third, a resource for moral and aesthetic influences upon clinical practice, supporting "humane health care" as the moral inspirations behind organised medicine. Medical humanities sustains these three aspects through paying proper attention to the existential and subjective aspects of medicine. By encouraging authentic imagination among health care practitioners, medical humanities aligns well with both humane health care and governance in the sense of self-regulation. However, it can neither be achieved mechanistically nor well-measured through proxies such as patient satisfaction. Above all, it should not be allowed to supply, through inappropriate qualitative "targets," new forms of management tyranny.