Study on the application of epidemiological thinking and methods in the training of general practitioners
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摘要: 目的 流行病学是公共卫生的主干学科,也是一门广泛应用于其他学科的应用科学。全科医学以人的健康为中心,在疾病预防与健康管理方面具有重要作用,是居民健康的“守门人”。分析流行病学思维方法在全科医生培养中的应用意义,为我国全科医学教育的进一步发展提供启示。 方法 以“流行病学”“全科医学”“全科医生”“家庭医生”“全科团队”和“全科医学教育”为关键词,对中国知网、万方数据库、维普及Pubmed数据库中1990年以来近30年的文献进行分析,结合我国全科医学教育现状,总结和分析流行病学思维方法在全科医生培养中的主要结合点。 结果 目前全科医生培养过程中融入流行病学思维方法的教学理念与方法不足,应将预防为主的大健康理念贯穿于全科医生教育和工作中,并增加突发公共卫生疫情防控协调处置技能训练,突出流行病学三级预防理念、流行病学调查在全科医生培养中的融合效果。 结论 应将流行病学的思维方法融入到全科医学教育与实践全过程之中,培养具有大健康观念、能维护和促进居民健康的全科医生。Abstract: Objective Epidemiology is not only the main subject of public health, but also an applied science widely used in other disciplines. The general practice, which centers on people's health, plays an important role in disease prevention and health management, and is the "gatekeeper" of residents' health. This study analyzed the application significance of epidemiological thinking and methods in the training of general practitioners for enlightening further development of general practice education in China. Methods We searched CNKI database, Wanfang database, VIP database, and Pubmed for articles about general practice published between 1990 and 2020 using "epidemiology", "general Practice", "general practitioner", "family doctor", "team of general practitioners" and "general practice education" as terms, analyzed and summarized the main combination points of epidemiological thinking and methods based on the current situation of general practice education in China. Results At present, the teaching ideas and methods of integrating epidemiological thinking and methods were inadequate. The enlarged health conception of prevention-first should be integrated into the education and work of general practitioners, of whom be added to the training of coordinated disposal skills for public health emergencies, and so the integration effect of tertiary prevention, epidemiological investigation should be highlighted in the training of general practitioners. Conclusion The epidemiological thinking and methods should integrate into the whole process of general practice education and practice in order to training as general practitioners with enlarged health conception who maintain and promote residents' health.
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