By John Fry
Medicine is information. there's consistent public curiosity in well-being and illness; in scientific miracles and in breakthroughs; in clinical failures, disasters and malpraxis ; in deficiencies and defects ofhealth prone; and within the emerging bills ofhealth care. drugs is 'big business'. Physicians co me out close to the pinnacle funds earners in so much treatment structures. within the Uni ted state the nationwide health and wellbeing provider (NHS) now bills over [6000 million a yr ($ ro 800 million), a unfastened carrier that expenditures each British guy, lady and baby [120 a 12 months ($216) in direct and oblique taxes. yet this can be below the [500 ($900) a 12 months that remedy expenditures every body in united states and West Germany. In built nations well-being care expenses are coming near near ro% ofthe gross nationwide product (GNP). it's titanic enterprise additionally in that during Britain the NHS is among the greatest employers; approximately I million Britons paintings as staff of the NHS, taking care of the opposite fifty four thousands and within the united states the numbers are five million taking care of 2. five thousands. the supply of healthiness companies is filled with difficulties and dilemmas. those difficulties and dilemmas move all' nationwide barriers. All nations proportion a similar difficulties and dilemmas. difficulties of ambitions, of criteria, of effectiveness and potency, and difficulties of relatives among the scientific occupation, the general public and govern ment. therapy nonetheless is filled with mystique.
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Additional resources for A New Approach to Medicine: Principles and Priorities in Health Care
Thus geography, economics and climatic conditions will create differing emphasis on the types and frequency of conditions and problems encountered. Tropical and developing rural areas will A NEW APPROACH TO MEDICI:'-lE provide a different spectrum of morbidity and problems from those in a developed temporate urban area. There will be differences in content influenced by customs, traditions and expectations of the public and the profession. Thus in some systems and places primary care physicians will be expected and encouraged to undertake care of patients in hospitals as well as in the community.
The implications of these features are that the content of clinical morbidity, medico-social pathology and family and personal problems will be heavily weighted towards the more common and more minor conditions and situations, with a sizeable proportion of chronic conditions requiring long-term care and support. Most ofthe persons seen by primary physicians in such circumstances will be weIl known from a personal or family background and past experiences of care over many years. Very few will be new patients.
197[). Health or Sickness: The Ghoice 01 Treatment (London: Tavistock Publications) White, K. , Williams, T. F. and Greenberg, B. G. (196[). N. Engl. ]. , 265,885 Further reading Kessel, W. I. N. ([963). D. Thesis on Non-aUenders (Cambridge University) Mechanic, D. ]. , 15,189 WHO COMES AND WHY? SELF-CARE AND PRIMARY CARE Parsons, T. (1951). The Social System (Chicago: Free Press) Robinson, D. (1971). The Process 01 Becoming III (London: Routledge and Kegan Paul) Stirnson, G. and Webb, B. (1975).
A New Approach to Medicine: Principles and Priorities in Health Care by John Fry