1医疗卫生保健文化的反思1.1健康文化与医学知识如果医务人员有充足的时间对患者进行诊断并帮助患者进行社区护理,就可在节省卫生费用的同时改善健康结果。整合型社区护理能缩小不同文化背景和群体健康需求的差异。然而,全球范围内对整合型社区护理的投入较少,原因之一就是20世纪对临床服务的重视弱化了卫生服务提供过程中的同情心理。当然,患者也对医学知识存在显性和隐性的影响(特别是当其因不遵医嘱而受到指责时)。无 1 Reflections on the Health Care Culture 1.1 Health and Culture and Medical Knowledge Health care costs and at the same time improving health outcomes can be achieved if medical staff have sufficient time to diagnose and help patients with community care. Integrated community care can reduce differences in cultural needs and group health needs. However, one of the reasons for this is that less global investment in integrated community care is due to the emphasis placed on clinical services in the twentieth century, which has softened the empathy in the delivery of health services. Of course, patients also have a dominating and implicit influence on medical knowledge (especially when they are blamed for failing to do so). no