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ویرایش: 1 نویسندگان: B. Paccagnella (auth.), Priv.-Doz. Dr. med. Ulrich Laaser, Professor Dr. Raoul Senault, Professor Dr. med. Herbert Viefhues (eds.) سری: ISBN (شابک) : 9783642699795, 9783642699771 ناشر: Springer-Verlag Berlin Heidelberg سال نشر: 1985 تعداد صفحات: 566 زبان: English فرمت فایل : PDF (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود) حجم فایل: 13 مگابایت
در صورت تبدیل فایل کتاب Primary Health Care in the Making به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
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از زمان برگزاری کنفرانس تاریخی در آلما آتا در سال 1978، مشاهده جهت گیری مجدد در حرفه پزشکی امکان پذیر بوده است. بیشتر و بیشتر، مسائل بهداشتی وارد صحنه می شود و پزشکی درمانی نه تنها جایگاه خود را از دست می دهد، بلکه برخی علاقه ها را از دست می دهد. آموزش بهداشت چقدر موثر است؟ و "پیشگیری اولیه وظیفه کیست؟" سوالاتی هستند که باعث نگرانی و بحث عمومی می شوند. همچنین به نظر میرسد این اولین بار از دهههای پایانی قرن نوزدهم است که بعد اجتماعی سلامت مورد توجه کافی قرار میگیرد. بنابراین انتشار مجدد به اصطلاح گزارش سیاه در مورد نابرابری در سلامت (پنگوئن 1982) منجر به بحث داغی در بریتانیای کبیر شد که مطمئناً برای بسیاری از کشورهای دیگر مرتبط است. 6 سال پس از 1978 زمان بسیار کوتاهی است تا بتوانیم به سمت "سلامت برای همه" حرکت کنیم، همانطور که شعار سازمان جهانی بهداشت بیان می کند، اما مفاهیم به طور مبهم اما برای بسیاری از ما قانع کننده بیان شده اند. زمان مناسب برای بحث در مورد تجربیات اولیه و حرکت از فلسفه به کار تجربی است. این کار - همانطور که به روند تکاملی از زمان آلما آتا مربوط می شود - با مشارکت، همکاری و پیشگیری مشخص می شود: مشارکت، زیرا "بیماری" فقط به فرد بیمار، خانواده او و محیط اجتماعی نزدیک او مربوط می شود، در حالی که "سلامت" به همه مربوط می شود. و باید همه را درگیر کند. این وظیفه کل جامعه است نه حوزه یک حرفه یا حزب.
Since the historieal conference held in Alma Ata in 1978, it has been possible to observe a reorientation of the medical profession. More and more, issues of health enter the stage and curative medicine is not just loosing ground but some interest. 'How effective is health education?' and 'Whose task is primary pre vention?' are questions which stimulate great concern and public debate. It seems also to be the first time since the last decades of the 19th century that the social dimension of health receives adequate consideration. Thus the reeent publication of the so-called Black Report on Inequalities in Health (Penguin 1982) led to a heated discussion in Great Britain, certainly of relevance to many other countries. The 6 years since 1978 are much too short a time to proceed far towards 'Health for All', as the slogan of the World Health Organization puts it, but the concepts are spelled out, vaguely but convincing to many of us. It is the right time to discuss first experiences and to move from philosophy to empiri eal work. This work - as it relates to the process evolving since Alma Ata - is characterized by participation, cooperation and prevention: Participation, because 'disease' concerns only the individual patient, his or her family and immediate social environment, while 'health' concerns everyone and should involve everyone. It is a task of the whole of society rather than the domaine of a single profession or party.
Front Matter....Pages I-XXV
Front Matter....Pages 1-1
Changing Mentality in Medical Education....Pages 3-10
Medical Education: Proposals for the Future....Pages 11-13
Education in Social Medicine....Pages 14-16
Community Health in Primary Care — A Workshop on Community-Oriented Primary Care....Pages 17-21
Seminars in Clinical Preventive Medicine....Pages 22-24
The Migration of Physicians to the United States — A Study of Candidates for ECFMG Certification, 1969–1982....Pages 25-30
Cooperation Between Different Professions and Lay Personnel....Pages 31-33
The Group Medical Practice — A Prospect for Doctors and Patients?....Pages 34-37
Division of Tasks and Cooperation: Learning Processes in Inter-professional Group Practices....Pages 38-41
Legal, Institutional and Educational Conditions for Interdisciplinary Teamwork Between Allied Health Professions....Pages 42-45
Social Work in Health Care Services....Pages 46-48
Telephone Medicine: A Training Need in a Technological Society....Pages 49-59
Family Counselling Services in the Veneto Region of Italy: Structural and Functional Aspects....Pages 60-66
Health Counselling — A Pilot Programme....Pages 67-69
Primary Prevention by the General Practitioner?....Pages 70-73
Medical and Psychosocial Problems in Primary Care....Pages 74-79
Mental Health Problems in the Offices of General Practitioners and Internists....Pages 80-85
Diagnostic Language in Primary Health Care — A Structural and Semantic Analysis of Diagnoses on Health Service Medical Cards....Pages 86-89
Early Detection of Disorders of Peripheral Circulation in General Practice: A Model for a Research Project of the German Society for General Medicine....Pages 90-94
Effects of the Social Situation on Health and Utilization of Medical Care Services: Results from the Munich Follow-up Study....Pages 95-99
Front Matter....Pages 1-1
Social Class and Utilization of Primary Medical Care Services: Class-Specific Patterns of Utilization Behaviour in the Munich Follow-up Study....Pages 100-104
Choice of Best or Cheapest Drugs: A Note on Regulating Drug Supplies....Pages 105-108
Epidemiology of Digitalis Use — Results from a Random Sample of the Munich Population....Pages 109-115
Front Matter....Pages 117-117
Some Relevant Ecological Factors and Their Influence on Pregnancy....Pages 119-121
Some Maternal and Social Factors in Relation to the Birth Weight of Infants....Pages 122-124
The Diagnosis of “Minimal Brain Dysfunction” — Implications for Social Medicine....Pages 125-127
Physical Fitness of Obese Children and Its Relationship to Age, Sex and Nutritional Intake....Pages 128-131
Knowledge, Habits and Standpoints of Novi Sad Adolescents in Relation to Cardiovascular Diseases and Possibilities of Their Prevention as Part of a Comprehensive Community Cardiovascular Control Programme....Pages 132-134
Review of the Results and Recommendations of the Cologne Study....Pages 135-136
Analysis of Suicides in Adolescents and Young Adults: Implications for Prevention....Pages 137-145
“Health Education” — A New Subject in the Secondary Schools of SR Slovenia, SFR Yugoslavia....Pages 146-149
Some Results of the “Schülerstudie Gesundheitserziehung Hamburg”....Pages 150-155
An Ecological Concept of Health Promotion in Child and Youth Work — Projekt Gesundheit/Bund Deutscher Pfadfinder....Pages 156-160
Growing Up into the 1980s: An Ecological Framework for Health Promotion for Youth....Pages 161-166
Industrial Jobs and Coronary Heart Disease....Pages 167-169
Coronary Prone Behaviour Related to Occupational Stress in a Sample of Male Workers....Pages 170-174
Work Stressors and Coronary Risk: Two Perspectives....Pages 175-178
Some Aspects of the Return to Work After Myocardial Infarction....Pages 179-182
Vocational Rehabilitation in Hypertension and Renal Diseases....Pages 183-187
Occupational Performance of Patients with Multiple Sclerosis....Pages 188-191
Front Matter....Pages 117-117
Mortality and Accidents in the Electrical Industry....Pages 192-196
Nutritional Habits and Their Relation to Health in the Occupational Environment....Pages 197-204
Alcohol in the Working Environment....Pages 205-208
Air Pollution and Health Indicators: Regional Findings for the Netherlands....Pages 209-214
Possibilities and Limits of Data Drawn from the “Gesundenuntersuchung” for an Epidemiological Study of the Connection between Air Quality and Chronic Bronchitis....Pages 215-222
Biological Effect of the Air Quality Measured at the Population Level....Pages 223-226
Family Rehabilitation in Chronic Illness....Pages 227-229
Family Psychology and “Family Confrontation”....Pages 230-234
Who Treats the Chronically Ill: The General Practitioner or the Internist?....Pages 235-239
Compliance — A “Risk Factor” for Chronic Diseases?....Pages 240-243
Non-fatal Myocardial Infarction in Women Under 50 Years of Age, with Reference to Oral Contraceptive Use in Belgrade....Pages 244-248
Rehabilitation After Surgery for Chronic Vascular Disease: Goal and Reality....Pages 249-251
Multiple Sclerosis and Geophysical Factors....Pages 252-255
Chronic Mental Illness: Social Factors and Rehabilitation Outcomes....Pages 256-260
Longitudinal Pattern of Aftercare in a Cohort of Recent Onset Schizophrenics....Pages 261-266
Efforts at Compensation with Regard to Basic Disorders Among Schizophrenics....Pages 267-273
Identification of Specific Patterns of Work Incapacity Related to Chronic Illness: Analysis of Data Gathered by the Health Insurance Funds in Western Germany....Pages 274-280
Migration and Health....Pages 281-283
Sickness in the Process of Migration....Pages 284-287
Illness and Health of Turkish “Citizens” in West Germany as Seen Against the Background of Their Personal Life Narratives....Pages 288-293
Front Matter....Pages 117-117
Studies on Social Hygienic Problems Appertaining to Foreign Children and Their Families in the Federal Republic of Germany....Pages 294-296
The Living Conditions and Education of Turkish Infants in the Federal Republic of Germany: Report on a Model Project in Nürnberg....Pages 297-299
Are New Counselling and Psychotherapeutic Patterns Necessary for Children of Foreign Employees (Guest-workers)? Results of an Epidemiological Study....Pages 300-303
Migration and Health — Thoughts on Past and Current Research....Pages 304-310
Front Matter....Pages 311-311
Health for All by the Year 2000: A Challenge for the Education of Health Personnel....Pages 313-319
Primary Health Care: The Challenge of Participation....Pages 320-325
The Promotion of Health Through Changes in Life-style: Epidemiological, Psychosocial and Ethical Aspects....Pages 326-329
Social Support and Coronary Risk Factors....Pages 330-334
Maternal and Perinatal Death in Indonesian University Obstetrics: Risk Display for Selected Social and Biological Determinants....Pages 335-351
Maternal Transmission of Hepatitis B and Its Prevention....Pages 352-355
Psychosocial Factors in Childhood Diseases in Nigeria: A Preliminary Study....Pages 356-369
Primary Health Care and Feasibility of Yaws Eradication in India....Pages 370-376
Human Resources for Primary Health Care in Developing Countries....Pages 377-380
Evaluation of Polyclinic Services Run by Primary Health Care (PHC) Nurses in Soweto....Pages 381-385
Primary Health Care — A New Strategy? Lessons to Learn from Community Participation....Pages 386-390
The Relation of Pattern of Support for Smoking and Achievement Motive in Young Women....Pages 391-393
On the Effectiveness of Smoking Cessation Treatment Methods....Pages 394-397
Cigarette Smoking, COHb Level and Physical Fitness....Pages 398-401
Reduction of Cigarette Consumption as the Most Important Task of Preventive Medicine and Health Policy....Pages 402-407
A New Approach to Diet Counseling of Overweight Patients and Diabetics....Pages 408-415
Front Matter....Pages 311-311
Adiposity — A Challenge to the General Practitioner in Therapy and Prevention....Pages 416-418
Front Matter....Pages 419-419
High Blood Pressure Control in the Community....Pages 421-423
Epidemiological Study of Hypertension and Stroke in Taiwan....Pages 424-427
Home Blood Pressure Measurement — A Useful Tool in the Management of High Blood Pressure?....Pages 428-433
An Education Program for Instruction in Self Blood Pressure Measurement....Pages 434-435
Serum Insulin and Glucose Tolerance in Obese Patients with or Without Associated Arterial Hypertension....Pages 436-441
The Treatment of High Blood Pressure: Non-Pharmacological and Pharmacological Measures....Pages 442-450
What Can Be Learnt from the Results of the High Blood Pressure Trials?....Pages 451-455
Medical Care Utilization and Self-Reported Health of Hypertensives: Results of the Munich Blood Pressure Study....Pages 456-463
The American National High Blood Pressure Education Program....Pages 464-467
Epidemiological Situation of Cardiovascular Diseases in Slovenia and Possibilities for Prevention and Control....Pages 468-471
Application of Epidemiology in Primary Health Care — Treatment of Hypertension....Pages 472-476
Severity Rating of Hypertension as a Measure of Individual Rehabilitation Effects....Pages 477-482
Cost-Effectiveness of Treating Hypertensives in the Federal Republic of Germany: A Model Analysis....Pages 483-487
Social Differences in the Long-Term Effects of Health Education in Reducing Coronary Risk....Pages 488-494
The Tromsø Heart Study: The Effect of Dietary Intervention in Hyperlipaemic Men — 5-Year Follow-up....Pages 495-499
Health Committees — A Way to Consumer Participation in Health Care Systems....Pages 500-504
A Model for Co-ordinated and Integrated Lifelong Health Security....Pages 505-508
Community Prevention: The Program of the People’s Medical Society....Pages 509-511
The Role of Health Insurance Companies in Primary Prevention....Pages 512-515
Front Matter....Pages 419-419
Health Work in a Working-Class District of Mannheim....Pages 516-520
Health Promotion in A Large City....Pages 521-523
Lay Involvement in the Primary Prevention of Cardiovascular Disease: The Rhein-Neckar Community Study (GRN)....Pages 524-534
Back Matter....Pages 535-548