共查询到20条相似文献,搜索用时 15 毫秒
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Rebecca Kershnar Charlene Hooper Marji Gold Errol R. Norwitz Jessica L. Illuzzi 《The Yale journal of biology and medicine》2009,82(4):129-141
Purpose: Several studies have documented a deficiency in the
delivery of preventive services to adolescents during physician visits in the
United States. This study sought to assess and compare pediatric, family
medicine (FM), and obstetrics and gynecology (OB/GYN) resident perceptions of
their responsibility, training, and experience with providing comprehensive
health care services to adolescents.Methods: A 57-item, close-ended survey was designed and administered
to assess resident perceptions of the scope of their practice, training, and
experience with providing adolescent health care across a series of health care
categories.Results: Of the 87 respondents (31 OB/GYN, 29 FM, and 27 pediatric),
most residents from all three fields felt that the full range of adolescent
preventive and clinical services represented in the survey fell under their
scope of practice. Residents from all three fields need more training and
experience with mental health issues, referring teenagers to substance abuse
treatment programs, and addressing physical and sexual abuse. In addition,
OB-GYN residents reported deficiencies in training and experience regarding
several preventive counseling and general health services, while pediatric
residents reported deficiencies in training and experience regarding sexual
health services.Conclusions: Our results indicate that at this time, residents from
these three specialties are not optimally prepared to provide the full range of
recommended preventive and clinical services to adolescents. 相似文献
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Kim Hopper 《Medical anthropology quarterly》1998,12(1):132-135
Medicine, Rationality, and Experience. Byron J. Good. New York: Cambridge University Press, 1994(cloth and paper). xvii. 242 pp. 相似文献
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《BMJ (Clinical research ed.)》1950,2(4685):940-942
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Laura Purdy 《Bioethics》2001,15(3):248-261
New and proposed medical technologies continually challenge our vision of what constitutes appropriate medical treatment. As scholars and consumers grapple with the meaning of innovation, one common critical theme to surface is that it constitutes undesirable medicalization. But we are embodied creatures who can often benefit from medical knowledge; in addition, rejection of medicalization may be in some cases based on an untenable appeal to nature. Harnessing the power of medicine for women's welfare requires us to rethink the goals of medicine as well as implement fundamental reforms. 相似文献
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