Six basic clinical principles of primary care practice

LI Jian; LIU Ying-ying; PIAO Hui-hong; YUAN Tong-ling; WU Jiang

doi:10.16766/j.cnki.issn.1674-4152.002256

Volume 19 Issue 12

Dec. 2021

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Article Navigation > Chinese Journal of General Practice > 2021 > 19(12): 2141-2145

LI Jian, LIU Ying-ying, PIAO Hui-hong, YUAN Tong-ling, WU Jiang. Six basic clinical principles of primary care practice[J]. Chinese Journal of General Practice, 2021, 19(12): 2141-2145. doi: 10.16766/j.cnki.issn.1674-4152.002256

Citation:

LI Jian, LIU Ying-ying, PIAO Hui-hong, YUAN Tong-ling, WU Jiang. Six basic clinical principles of primary care practice[J]. Chinese Journal of General Practice, 2021, 19(12): 2141-2145. doi: 10.16766/j.cnki.issn.1674-4152.002256

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Six basic clinical principles of primary care practice

doi: 10.16766/j.cnki.issn.1674-4152.002256

1.
Department of General Practice, Shenzhen People's Hospital, Medical School of Southern University of Science and Technology (SUSTech) & Jinan University, Shenzhen, Guangdong 518020, China

Funds:

2015-HM02-00020-SF

Received Date: 2021-04-08
Available Online: 2022-03-02

Abstract

Abstract

Objective Primary care is a general medical clinical service in developed countries, and its basic principles should be established. The purpose of this study is to establish the clinical service principles of primary care. Methods We searched literature in multiple databases using the key words 'primary care, ' 'primary care practice, ' 'primary health care, ' 'general practice' and 'family medicine' in combination with 'principle, ' 'ideal, ' 'description, ' 'characteristic' and 'feature'. A total of 54 articles were selected to summarize the basic clinical principles of primary care practice. Results Six basic clinical principles of primary care practice were synthesised. (1) A holistic principle included holism, whole person care, bio-psycho-social model, lateral clinical thinking and overcoming fragmented specialisation. (2) An integrative principle consisted of the combination of complementary medicine, coordinated care and practicing holistic integrated medicine. (3) A continuous principle dealed with continuous clinician-patient relationship, seamless services, life-cycle medical services and full medical care at any time and place. (4) A preventive principle contained undifferentiated disease care, health habit counselling, screening for asymptomatic diseases and immunisation. (5) A patient-centred principle referred to responses to individual patient needs and values, people-oriented care and practicing patient-centred medical home. (6) A standardised principle involved the use of evidence-based medicine, following the clinical guideline and applying the clinical pathway. Conclusion The six basic clinical principles might be the backbone of primary care practice, which can be used to construct the disciplinary knowledge of clinical primary care practice.
- Primary care,
- Primary care practice,
- Primary health care,
- General practice,
- Family medicine

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References(39)

References

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