1

..
District Health System .
.

(access to care)(1) (reducing
health disparities) (integrating health care with public
health systems)(2)
(continuous interprofessional care of patients)(3)

... ""
(, , )

Disease Illness

Social Determinant of Health

Family Determinant of Health

Social Determinant of Health Ecological Model Patient individual

(illness) (Disease) (Idea)
(Feeling) (Function) (Expectation) (Suffering)

Physician-Patient-Family-Community Relationship

(4)

(5)



(6, 7)
Human Capital in Working with Family
Family Medicine & Primary Care Perspective (8)

1
/

2
/

(9)

3 5

(Core group)

(Change agent)

(Champion)

(Continuity)

( in Come and in kind)

(advoCate)

Health and Social Care,

(context based learning )

family
resource community resource
.


case case Humanized Health care

(10)

4
(11)

1.
Faber M, Voerman G, Erler A, Eriksson T, Baker R, De Lepeleire J, et al. Survey Of 5 European
Countries Suggests That More Elements Of Patient-Centered Medical Homes Could Improve Primary Care.
Health Affairs. 2013;32(4):797-806.
2.
Grant R, Greene D. The Health Care Home Model: Primary Health Care Meeting Public Health Goals.
American Journal of Public Health. 2012;102(6):1096-103.
3.
Berryman SN, Palmer SP, Kohl JE, Parham JS. Medical Home Model of Patient-Centered Health Care.
MEDSURG Nursing. 2013;22(3):166-96.
4.
Williams W. Family-Centered Care. Journal for Specialists in Pediatric Nursing. 2006;11(3):203-6.
5.
Collaborative and Supervisory Relationships Between Attending Physicians and Advanced Practice
Nurses in Long-Term Care Facilities. Journal of the American Medical Directors Association. 2011;12(1):12-8.
6.
Adams M, Robert G, Maben J. Catching up: The significance of occupational communities for the
delivery of high quality home care by community nurses. Health: An Interdisciplinary Journal for the Social Study
of Health, Illness & Medicine. 2013;17(4):422-38.
7.
Wilson CB. Developing community in care homes through a relationship-centred approach. Health &
Social Care in the Community. 2009;17(2):177-86.
8.
...
. 2553.
9.
Meng A. Informal home care and labor-force participation of household members. Empirical Economics.
2013;44(2):959-79.
10.
Wilson N. Compassionate Care: at what cost? British Journal of Community Nursing. 2013:S5-S.
11.
Hall D, Shucksmith J. Making life richer: creating a compassionate community. Nursing & Residential
Care. 2012;14(6):314-7.