公共卫生教育的发展及其与临床医学重整的困境  

The Schism of Public Health and Clinical Medicine and the Dilemma of Their Recombination

作　　者：祖述宪[1] 

机构地区：[1]安徽医科大学,安徽合肥230032

出　　处：《医学与哲学（A）》2010年第4期1-4,8,共5页Medicine & Philosophy:Humanistic & Social Medicine Edition

摘　　要：近代以来人类健康的改善公共卫生的作用居功至伟。1916年约翰霍普金斯大学建立了世界上第一所公共卫生学院,是公共卫生和医学机构分离的开始。尽管公共卫生的研究成果很多,公共卫生和医学在教育和实践上的分裂,削弱了公共卫生在维护大众健康中的作用,在传染病再次成为社会的威胁和医疗费用不断上涨时,因此弥补这个分裂更为重要。如今已经为此做出许多努力,但收效不大。Public health has made great achievement in the improvement of human health since nineteenth century. The establishment of Johns Hopkins School of Hygiene and Public Health is considered as a symbol for the schism of public health and medicine in 1916. Although public health research has made huge progress,the schism between public health and medicine in education and practice weakened the efficiency of limited resources in health care,particularly,in current time of the resurgence of infectious diseases and highly increased cost of medical care. Lots of efforts were made in training course of medical school. The International Clinical Epidemiology Network established by the Rockefeller Foundation for helping clinical faculty from medical school in the developing nations critically to assess the factors that determine the most effective prevention and treatment strategies to improve the health of people. However,the effect of these strategies for mending the schism was very limited.

关 键 词：公共卫生 医学教育 临床流行病学 

分 类 号：R-02[医药卫生]