摘要
随着社会发展,简单的西医学和补充替代医学结合已不能完全满足人们日益多元化的健康诉求。本研究提出广义结合医学模型,认为针对病因、临床干预和测评等,应从正统医学(西医学、中医学等)、个体内在主观特征(情绪、态度、心理等)、文化影响(医生、护理者、群体关怀等)、自然环境社会系统(经济水平、社会保障、环境污染等)4个维度在个体的生理、心理、精神等多个层面进行综合考虑和管理,并建立来自生物学、医生、患者、健康相关者、社会环境系统等更为完善的结局报告体系。该模型有个体化、动态化、标准化、客观化、系统化的内在特征和开放兼容的外在特征,旨在为综合健康干预提供新的理论指导和发展方向,探索解决目前存在的诸多医疗心理和社会问题。
Nowadays, the simple combination of Western medicine （WM） and complementary and alternative medicine （CAM） cannot resolve all the health problems and various requirements. This article proposed the general integral medicine （GIM） theoretical model, which declares the disease causes analysis, clinical intervention and outcomes assessment should be recongnized, managed and evaluated both from physiological, psychological, and spiritual status, and all the four dimensions ： orthodox medicine （WM, Chinese medicine, etc.）, individual inherent characteristics （emotion, attitude, psychology, etc.）, clultural influences （doctors, caregivers, groups care, etc.）, and natural environment and social systems （economic status, social security system, environmental pollution, etc）. As for health outcomes assessment, a more comprehensive system including biological, doctors, patients, health in- timate, social and environmental evaluations were required. The GIM model has individualized, dynamic, standardized, objective, systematic inherent characteristics, and opening and compatible external characteristics. It aims to provide the new theoretical guidance and strategic development direction for complex health interventions, and solve various medical related psychological and social problems.
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2014年第6期645-652,共8页
Chinese Journal of Integrated Traditional and Western Medicine
基金
国家自然科学基金青年资助项目(No.81303148)
国家自然科学基金面上项目(No.81373786)
广东省中医药管理局科研课题(No.20132177)
国家临床脾胃病重点建设专科(国中医药医政医管便函〔2012〕108号)
国家中医药管理局脾胃消化病重点学科(国中医药发〔2009〕30号)
国家中医药管理局十二五重点专科(国中医药医政发〔2012〕2号)
关键词
广义结合医学
综合健康干预
疗效评价
结局测评
社会环境报告
患者报告结局
理论模型
general integral medicine
complex health intervention
effect evaluation
outcomes assessment
social and environmental report
patient reported outcomes
theoretical model
