全科医学是近年来兴起的一门新学科,是现代医学的发展方向。由于它具有涉及面广、综合性强的特点,并能最相适应地承担初级卫生保健的任务,所以越来越受到人们的瞩目。作为运用全科医学的全科医生对待疾病与健康的认识必须首先确立不同于一般临床医生的思维范畴。在大卫生的前提下,对治病与防病、对个体与群体、对内因与外因之间,尽可能精确地找出彼此相关性联系,作出综合性的判断、制定出行之有效的决策方案。全科医生的观察角度和思维方法具有它的特殊性。下面我们从几个方面来说明。一、宏观原则: General medicine is a new discipline that has emerged in recent years and is the development direction of modern medicine. Because of its characteristics of being broad and comprehensive, and capable of meeting the primary health care tasks most appropriately, it has attracted more and more attention. As a general practitioner applying general medicine, the understanding of disease and health must first establish a category of thinking different from that of a general clinician. Under the premise of general health, to find out the correlation between disease prevention and disease prevention, individual and group, internal and external factors as accurately as possible, make comprehensive judgments, and formulate an effective decision-making plan. . The general practitioner’s perspective and thinking methods have its particularity. Here we explain from several aspects. First, the macro principle: