The Foundations of Primary Care: Daring to be DifferentThis work contains foreword by Ian R McWhinney, Emeritus Professor of General Practice, Schulich School of Medicine and Dentistry, Centre for Studies in Family Medicine University of Western Ontario, Canada. This ground-breaking book encourages a re-focus on the subjective and social nature of health and illness. It helps healthcare professionals find fresh perspectives to assist patients, many of whom are threatened by and lost in a healthcare system dominated by diseases and procedures. The book takes a whole systems approach to primary care, incorporating new developments, social aspects, critical discourse, international perspectives, and the history and philosophy of medicine. It is a stimulating and inspiring read for general practitioners and other primary healthcare professionals, undergraduate and postgraduate medical students, healthcare educators, academics, and primary care researchers. Healthcare policy makers and shapers will value its lucid account of complex issues. 'Joachim Sturmberg has written an important book, which I sincerely hope the reformers of our health care system will study carefully. It is also a riveting read. With great erudition and strong arguments, Sturmberg lays out a plan which leads to a goal to which we all aspire - a health care system based on primary care and primary health care which expresses the historic values of medicine and adapts itself to the complexity of modern medicine. A must read for anyone who has the interests of primary care at heart.' - Ian R McWhinney, in the Foreword. |
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Contents
The nature of illness | 4 |
The beginnings of epidemiology | 18 |
THE ORIGINS OF GENERAL PRACTICEFAMILY | 37 |
Challenges till 2020 | 43 |
Medicine and the common good | 58 |
Science and truth | 64 |
The paradigm of medical science | 70 |
Complex adaptive systems | 77 |
THE PRACTICE OF MEDICINE | 103 |
PRACTISING GENERAL PRACTICEFAMILY MEDICINE | 121 |
EMERGING PATTERNS | 139 |
Constructing health and disease in the consultation | 153 |
HEALTH INEQUALITIES | 169 |
EMERGING PATTERNS | 175 |
What does primary health care offer governments the public | 188 |
Conclusions | 201 |
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accessed 30 June achieve anthrax associated benefits British Medical Journal Cartesian dualism cause century changes Chapter clinical practice complex adaptive systems concept consultation context defined definition diagnosis doctor–patient relationship economic effects environment evidence-based medicine factors Family Medicine Family Practice field Figure find findings first Foundation Four Humours function healing health and disease health and illness health service health system healthcare system healthcare vortex heart disease higher continuity human Ian McWhinney identified illness experience impact improved income inequality individual influence interactions intervention Journal of Medicine knowledge Louis Pasteur Max Von Pettenkofer McWhinney medical education model of health mortality one’s outcomes paradigm patient-centred Pellegrino personal health philosophy Phronesis physician practice/family medicine practitioners primary care primary health primary health care problem Psychoneuroimmunology reductionist reflects risk scientific self-rated health shaman/medicine significant social capital society specific structure SUMMARY POINTS theory therapeutic treatment understanding