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首页> 外文期刊>International journal of osteopathic medicine: IJOM >The Biopsychosocial model: Redefining osteopathic philosophy?
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The Biopsychosocial model: Redefining osteopathic philosophy?

机译：生物心理社会模型：重新定义骨病哲学？

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摘要

The Biopsychosocial model (BPS), first proposed by Engel in 1980, can be considered as both a philosophy of clinical care, and a practical guide to individual patient management. The BPS model also has the benefit of extensive supportive literature. Osteopathic philosophy, however, remains poorly defined and suffers from both a lack of published corroborating evidence of effectiveness, and a universally accepted definition of practice. This potentially leaves the osteopathic profession drifting against the tide of evidence-based practice clinging to the 'life raft' of what it perceives to be a distinctive philosophy, but without the evidence to support or justify swimming against the tide. As the osteopathic profession reviews its underpinning philosophy and its relevance in a fast changing evidence-based care environment, the BPS model potentially provides the answers to a number of the issues surrounding the current and future practice of osteopathy. In reviewing the accepted tenets of osteopathic philosophy in light of the BPS model, it is necessary to briefly consider aspects of science and evidence as well as the art of clinical care which all contribute to evidence-based 'best practice'.
机译：恩格尔（Engel）于1980年首次提出的生物心理社会模型（BPS）既可以被视为临床护理的哲学，又可以作为个体患者管理的实用指南。 BPS模型还具有大量支持性文献的优势。然而，整骨疗法哲学的定义仍然很不完善，既缺乏有效的公开证实证据，也缺乏普遍接受的实践定义。这可能会使整骨疗法专业人士偏离以证据为基础的实践浪潮，紧贴其认为是独特哲学的“救生筏”，但没有证据支持或证明反对浪潮游泳。在整骨疗法专业人士回顾其基本理念及其在快速变化的循证护理环境中的相关性时，BPS模型有可能为围绕当前和未来整骨疗法实践的许多问题提供答案。在根据BPS模型回顾整骨哲学的公认原则时，有必要简要考虑科学和证据以及临床护理领域，这些方面都有助于基于证据的“最佳实践”。

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