TEACHING RESIDENTS TO CARE FOR VULNERABLE POPULATIONS IN THE OUTPATIENT SETTING

被引：15

作者：

LURIE, N ^{[1
]}

YERGAN, J ^{[1
]}

机构：

[1] HENNEPIN CTY MED CTR,DEPT MED,MINNEAPOLIS,MN 55415

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1990年 / 5卷 / 01期

关键词：

ambulatory care; education; outpatients; residents;

D O I：

10.1007/BF02600435

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Residency programs have an obligation to teach house officers to care for vulnerable populations. Such populations consist of those whom physicians tend to consider undesirable as patients, and thus who often lack adequate care, because they cannot pay for medical services, because they have medical problems that are difficult to manage, or because they have characteristics giving them low social status. The authors identify and discuss key aspects of learning to care for such populations. These aspects include obtaining appropriate experience caring for disadvantaged patients, developing sensitivity to pertinent sociocultural issues, exploring biases, acquiring relevant special skills, studying epidemiology of diseases in specific vulnerable groups, and learning about health care financing and health policy. Measures to help residents obtain more satisfaction from caring for vulnerable patients are among additional topics discussed. © 1990 Society of General Internal Medicine.

引用

页码：S26 / S34

页数：9

共 28 条

[1]

Delbanco T.L., Calkins D.R., The costs and financing of ambulatory medical education, J Gen Intern Med, 3, pp. S35-S43, (1988)

[2]

Rogers D.E., Blendon R.J., The academic medical center: a stressed American institution, N Engl J Med, 298, pp. 940-50, (1978)

[3]

Stevens R., In sickness and in wealth: American hospitals in the twentieth century, (1989)

[4]

Greenfield S., Linn L.S., Purtill N., Young R.T., Reverse consultations: the profiles of patients referred from subspecialists, J Chronic Dis, 36, pp. 883-9, (1983)

[5]

Mandelblatt J.S., Adler R.S., Bennett N.M., Et al., Divisions of general medicine: ambulatory care activities and responses to cost containment, J Gen Intern Med, 2, pp. 388-93, (1987)

[6]

Eisenberg J.M., Curricula and organization of primary care residencies in internal medicine, J Med Educ, 55, pp. 345-53, (1980)

[7]

Strelnick A.H., Bateman W.B., Jones C., Graduate primary care training: a collaborative alternative for family practice, internal medicine, and pediatrics, Ann Intern Med, 109, pp. 324-34, (1988)

[8]

Sharp M.C., Lorch S.C., A community outreach training program for pediatric residents, J Med Educ, 63, pp. 316-22, (1988)

[9]

Lipsitz L., Reflections of a primary-care resident. The value of experience, Pharos, 45, pp. 23-6, (1982)

[10]

Verby J.E., Minnesota rural physicians redistribution plan 1971 – 1976, JAMA, 238, pp. 960-4, (1977)

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