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    Introduction To Family Medicine - Updated

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    Mwanja Moses
    This document provides an introduction and historical perspective on family medicine. It discusses how medicine became more specialized and fragmented after World War II. This led to issues like a lack of continuity of care and weak doctor-patient relationships. Family medicine later emerged as a specialty focused on comprehensive, coordinated primary care through long-term relationships with patients and their families. The document outlines the core values of family medicine in providing holistic, patient-centered care and emphasizes that most medical problems can be handled by family physicians.

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    Introduction To Family Medicine - Updated

    Uploaded by

    Mwanja Moses
    77 views22 pages
    This document provides an introduction and historical perspective on family medicine. It discusses how medicine became more specialized and fragmented after World War II. This led to issues like a lack of continuity of care and weak doctor-patient relationships. Family medicine later emerged as a specialty focused on comprehensive, coordinated primary care through long-term relationships with patients and their families. The document outlines the core values of family medicine in providing holistic, patient-centered care and emphasizes that most medical problems can be handled by family physicians.

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    Introduction to Family Medicine_Updated

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    This document provides an introduction and historical perspective on family medicine. It discusses how medicine became more specialized and fragmented after World War II. This led to issues like a lack of continuity of care and weak doctor-patient relationships. Family medicine later emerged as a specialty focused on comprehensive, coordinated primary care through long-term relationships with patients and their families. The document outlines the core values of family medicine in providing holistic, patient-centered care and emphasizes that most medical problems can be handled by family physicians.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    77 views22 pages

    Introduction To Family Medicine - Updated

    Uploaded by

    Mwanja Moses
    This document provides an introduction and historical perspective on family medicine. It discusses how medicine became more specialized and fragmented after World War II. This led to issues like a lack of continuity of care and weak doctor-patient relationships. Family medicine later emerged as a specialty focused on comprehensive, coordinated primary care through long-term relationships with patients and their families. The document outlines the core values of family medicine in providing holistic, patient-centered care and emphasizes that most medical problems can be handled by family physicians.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 22

    Introduction to Family Medicine

    By
    Dr. Besigye Kabahena Innocent
    MBChB, Mmed (Family Medicine)
    Historical Perspective

    In the beginning, every


    doctor was……………..
    What Happened??
    1) The 1910 Flexner report on medical
    education in the United States of America &
    Canada

    2) After the 2nd World War, the focus of medical


    training and practice changed to specialisation
    & super-specialisation
    Problem
    • Fragmentation of medical training and care
    • Lack of personal touch in patient care
    (Depersonalisation of care)
    • Episodic rather than continuous care
    • Predominance of hospital care at the expense of
    primary care
    Result: Care becoming expensive and uncoordinated
    with weak doctor-patient relationship
    Why relationships matter to
    people

    Patient
    Re
    lat
    ion
    Family sh
    ips
    Neighbourhood

    Society
    Environment
    History

    It is much more important to kn


    ow what sort of a patient has a
    disease than what sort of a dise
    ase a patient has.

    William Osler
    In order to properly care
    for the patient you must care
    about the patient.
    Where health lives

    Spiritual

    Physical Emotional

    Intellectual
    Where illness and disease hide

    Disease

    Patient Physician
    Illness
    Response
    • By 1960, countries had started realising the
    problem
    • American Board of Family Practice formed in
    1960s
    • Family Medicine department started at
    University of Pretoria in 1960
    Astana Declaration
    Family Medicine
    • Academic specialty of Family Practice
    • Family Physicians study Family Medicine at
    post graduate level
    • Specialty that provides comprehensive,
    continuous and coordinated care to every
    individual regardless of sex, age or body
    organ/system affected with an enduring
    doctor-patient relationship
    Who is a Family Physician?
    • “The physician who is primarily responsible for
    providing first contact and comprehensive health
    care to every individual seeking medical care and
    advice, and arranging for other health personnel to
    provide services as necessary. The family physician
    functions as a generalist who accepts everyone
    seeking care in contrast to other physicians who limit
    access to their services on the basis of age, sex
    and/or type of health problem.” WONCA (World
    Organisation of Family Doctors) Definition of family physician (1991)
    Levels of Health Care
    • Primary Care:
    Primary Care Physician
    • Secondary Care
    Secondary Care Physician
    Primary Care
    • What is it?

    • Components: Comprehensiveness, access,


    coordination, continuity, person-centred,
    family & community-oriented.
    Why Family Medicine?
    • FM offers diversity, challenges but important
    of all flexibility
    • More than 80% of medical problems can be
    well handled by Family physicians
    • Family physicians decrease mortality among
    populations (On average, 1 additional family
    physician per 10,000 people is associated with
    a 5.3% reduction in mortality)
    Family Practice Vs other Specialties
    • Family practice has 3 dimensions; knowledge,
    skills and process.
    • Knowledge and skills may be shared but the
    family practice process is unique
    • At the center of this process is the patient-
    physician relationship with the patient viewed in
    the context of the family
    • The extent to which this relationship is valued,
    developed, nurtured, and maintained
    distinguishes family practice from all other
    specialties.
    Core Values of Family Medicine
    • Continuity of care
    • Comprehensive care
    • Compassionate care
    • Person-centred care
    All these provided in the context of family and
    community
    Recommended Books
    Don’t forget the Biomedical &
    Clinical Sciences Please!!!
    Thank you

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