公共衛生與預防醫學中的「三段五級」

Jules Chang
Nov 1 · 1 min read

住院醫師申請季到來,那張古老的三段五級圖可能又開始流傳於家醫科面試場合中了。

將此圖稍作精簡,希望讓大家明白,第一線基層醫師最希望能作到的,是在民眾仍健康活蹦亂跳時就懂得趨吉避凶:健康生活、完成特殊保護 (其中最具體的大概就是疫苗施打) (第一段),在疾病開始的「症狀期」、甚至還是「無症狀」的黃金期,就透過篩檢獲得早期診斷進而接受早期治療 (第二段),而當真的病情加重時,我們仍能透過臨床治療來限制殘障、或在逐漸恢復的病程中進行復健 (第三段),但病情至此通常醫療成本節節攀升,對於病人與家屬也造成極大的生心理負擔。

Jules Chang

Written by

Family medicine resident who hopes to convert as wide a range of experience as possible into conscious thought.

Welcome to a place where words matter. On Medium, smart voices and original ideas take center stage - with no ads in sight. Watch
Follow all the topics you care about, and we’ll deliver the best stories for you to your homepage and inbox. Explore
Get unlimited access to the best stories on Medium — and support writers while you’re at it. Just $5/month. Upgrade