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摘要


澳底保健站為全省首創社區醫學中心,做為家庭醫師訓練的場所。自民國70年12月起,執行社區醫學訓練計劃,使學員經由實地工作,以確認社區內居民之健康問題與尋求解決方法。本文闡述其目標、目的、課程、方法內容以及成果和檢討建議,以配合群體醫療執業中心之擴大實施,俾使基本保健醫療政策落實。

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Community Medicine is most commonly defined as a discipline concerned with the identification and the solution of health care problems of communities or other defined populations, A program for teaching of Community Medicine has been carried out at Audi Community Health Center since December, 1981. It is a one-month rotating course in the training program of the first year residents of the departments of Internal Medicine and Family practice, National Taiwan University Hospital. There are four objectives in this program e. g. (1) to work as a first contactor to practice multidisciplinary skills and knowledge especially the preventive medicine in the daily ambulatory clinic, (2) to highlight the concept of family as a care unit through good Doctor-patient relationship and home visit to understand the nature of diseases and illness and its relation with the family and sociocultural background, (3) to collect the data base from the community survey to be a health educator for the residents, (4) to provide comprehensive care via a team approach. It is hoped that the report of this novel program, the rationale presented for building up the department of Family Medicine in medical colleges as well as including Community Medicine in the training course of primary health care personnel and the suggested new channel of community health survalence will further encourage and assist the other involved hospitals to teach Community Medicine in group practice centers to strengthen the national primary health care policy.

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