一般診療ジャーナル

What’s New in the Updated European Definition of General Practice/ Family Medicine?

Abstract

Bernard Gay

WONCA recently updated the European Definition of General Practice/Family Medicine [GP/FM]. Patient empowerment becomes one of the twelve characteristics of GP/FM, linked with person centered approach. This description of the characteristics of the discipline gives an explicit framework and describes the specific content of GP/FM. GP/FM is the specialty dedicated to primary health care, in a quality improvement perspective. Clinical decisions take into consideration of ambulatory clinical context, patient’s preferences in its living environment and current scientific data, in an EBM model. This definition is worth to be implemented in the three components of a medical discipline: care, teaching and research. Primary health care have to be developed because of their effectiveness and efficiency, and their ability to reduce health inequalities. The core professional competencies of GP/FM are clearly identified and must be taught the University. Primary care research must been larged to allow investigating different areas of expertise.