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全科医师在优化落实慢性便秘三级诊治中的作用

张含之 于德华 陆媛 潘莹 范会芹

中国全科医学2017,Vol.20Issue(21):2561-2567,7.
中国全科医学2017,Vol.20Issue(21):2561-2567,7.DOI:10.3969/j.issn.1007-9572.2017.21.002

全科医师在优化落实慢性便秘三级诊治中的作用

Role of General Practitioners in the Three-level Management of Chronic Constipation

张含之 1于德华 2陆媛 1潘莹 1范会芹1

作者信息

  • 1. 200090 上海市,同济大学附属杨浦医院全科医学科
  • 2. 200090 上海市,同济大学医学院全科医学系
  • 折叠

摘要

Abstract

Chronic constipation(CC) endangers people′s health.Based on CC′s clinical characteristics,status and requirements of diagnosis and treatment,the role of general practitioners(GPs) in the three-level management of CC is intensively analyzed as the following:continuously managing CC in different populations comprehensively;promotively managing CC by delivering intervention services,improving the patient compliance and coordinating in interprofessional collaborative practice;working as the interveners in different levels of CC management;providing a series of services for preventing CC and early management of CC,as well as supplementing and perfecting the aetiology-based intervention;making efforts to early screening and intervening colorectal cancers in primary management;early evaluating the mental status of CC patients and timely offering associated interventions in secondary management;treating CC patients by integrated traditional Chinese and western medicine in tertiary management.The analysis shows that GPs are of great value in optimizing and implementing the three-level management standards of CC.

关键词

便秘/全科医生/三级诊治

Key words

Constipation/General practitioners/Three-level management

分类

医药卫生

引用本文复制引用

张含之,于德华,陆媛,潘莹,范会芹..全科医师在优化落实慢性便秘三级诊治中的作用[J].中国全科医学,2017,20(21):2561-2567,7.

基金项目

上海市卫生和计划生育委员会科研课题(201440344) (201440344)

上海市卫生计生系统重要薄弱学科建设计划(2015ZB0603) (2015ZB0603)

中国全科医学

OA北大核心CSTPCD

1007-9572

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