1、8th Beijing Hong Kong Medical Exchange第八届京港医学交流会议第八届京港医学交流会议 The Needs of good Family Medicine Practice优质家庭医学优质家庭医学服务服务的需求的需求By 讲者讲者xxx1感谢你的欣赏2019-8-11A.Why do we need good family practice?我们为什么需要优质家庭医学服务优质家庭医学服务？B.How do we achieve those needs?我们怎样实践那些需要?2感谢你的欣赏2019-8-11A.Why do we need good family
2、 practice?我们为什么需要优质家庭医学服务优质家庭医学服务？(1)The modern trend of specialization is changing.Holistic medical care is now in vogue.医学的迅速发展和专业化的趋势改变了大部分医学景象。(2)Different diseases are treated by different specialists.Therefore many medicines could be prescribed for one person with many conditions.Thus we need
3、a good family doctor to co-ordinate better use of all these medicines.多方面的专家治疗不同的疾病。一个患有多种疾病的人将被处方很多药物。因此，我们需要一位良好家庭医生，有效地协调使用所有药物。3感谢你的欣赏2019-8-11(3)Let me use a case to illustrate my points.Mrs Chan,a 76 year old widow,living alone with a domestic helper,had just been discharged from hospital one
4、week ago.This was her second admission in 5 weeks.She had been feeling dizzy,no appetite,chest discomfort,weakness in the limbs and could not sleep for the last 3-4 days.Her husband died 9 months ago of a cardiovascular accident.She has 3 sons and one daughter,all married and live away from her.用以下一
5、种情况来说明我的观点。陈太太，一位76岁寡妇，独居，有一家务助。一个月前出院，这次是她在五周内第二次入院了。最近3至4天，她感到眩晕、没胃口、胸口不安、四肢乏力及不能入睡。九个月前，她的丈夫死于心血管意外。她有3个儿子和一个女儿。他们全部已婚且不跟她同住。4感谢你的欣赏2019-8-11She showed me she had been taking 2 medicines for diabetes,2 medicines for blood pressure,one medicine for chest discomfort,one for lowering her cholesterol
6、,one for her uric acid,and one for arthritis of her knees.She had been taking a total of 8 different types of medicine.After a careful history and examination,Mrs Chans conditions appeared under control.她让我看她正服用的药物，包括2种糖尿病药，2种血压药，1种胸口不安药，1种降胆固醇药，1种尿酸药和1种膝关节炎药。可见她总共服用8 类不同药物。在小心记录病历和检查之后，陈太太的情况开始受到控制
7、。5感谢你的欣赏2019-8-11.However,Mrs.Chan appeared unhappy,living alone,crying easily,not sleeping well and not wanting to live any more.It is obvious that Mrs.Chan,in addition to her multiple problems,has a bereavement and depressive disorder.How are we going to manage her?Are we going to treat her with a
8、dditional anti-psycholytics and anti-depressants?The list of drugs is getting very long indeed.可惜，陈太太看来不愉快，单居，易哭，睡不好并且不想再活下去。明显地，陈太太除了多种身体毛病之外，还有丧亲情绪和抑郁症。我们将怎样帮助她？我们可用更多的情神病药和抗抑郁药吗？她现在的药单已经非常长了。6感谢你的欣赏2019-8-11With an aging population,there are more chronic degenerative diseases and increasing psych
9、osocial problems,Indeed,many countries like Hong Kong need well trained,good family doctors to deal with progressively more and more patients like Mrs Chan.随着人口老化，更多慢性退化疾病和社会精神问题将会出现。的确，很多国家像香港一样，为了应付更多如陈太太这样的病人，需要训练有素的优质家庭医学优质家庭医学服务服务。7感谢你的欣赏2019-8-11(4).With many new guidelines,treatment protocols
10、 and drug usages,every year,good family doctors are required to keep abreast of new knowledge all the time.For instance,in treatment of hypertension the NICE(National Institute for Health and Clinical Excellence,2006)has published new clinical guidelines for care pathways and drug treatments.由于每年会有很
11、多新指引，治疗协议和药用惯例，良好的家庭医生须要一直学习新知识。例如，在治疗高血压过程，NICE(National Institute for Health and Clinical Excellence,2006)已经出版关于治疗路线和治疗药物的新临床指引。8感谢你的欣赏2019-8-11(5)Governments around the world have acknowledged that health care systems with primary care orientation will achieve better levels of health care,higher
12、satisfaction of service among their population and lower costs.Central to the primary health care team is the good family medicine practice.世界各地政府已经认同医疗保健系统中，初级护理的发展方向，因为初级护理将取得更好的保健水平，更高的服务满意度和更低的费用。初级护理队伍的中心点是优质家庭医学服务。The needs of good family medicine practice are many.The above 5 are the more important ones.需要优质家庭医学服务的原因其实是很多，上述五个原因是比较重要的。9感谢你的欣赏2019-8-11The End完Thank You谢谢14感谢你的欣赏2019-8-1115感谢你的欣赏2019-8-1116感谢你的欣赏2019-8-11
