By John Fry
Medicine is information. there's consistent public curiosity in healthiness and sickness; in clinical miracles and in breakthroughs; in scientific mess ups, mess ups and malpraxis ; in deficiencies and defects ofhealth providers; 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 platforms. within the Uni ted nation the nationwide well-being carrier (NHS) now expenditures over [6000 million a yr ($ ro 800 million), a unfastened provider that expenditures each British guy, girl and baby [120 a yr ($216) in direct and oblique taxes. yet this is often lower than the [500 ($900) a 12 months that treatment expenses every body in united states and West Germany. In constructed international locations health and wellbeing care bills are drawing close ro% ofthe gross nationwide product (GNP). it's sizeable company additionally in that during Britain the NHS is without doubt one of the biggest 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 health and wellbeing prone is stuffed with difficulties and dilemmas. those difficulties and dilemmas pass all' nationwide limitations. All international locations percentage an analogous difficulties and dilemmas. difficulties of targets, of criteria, of effectiveness and potency, and difficulties of family members among the scientific career, the general public and govern ment. treatment nonetheless is filled with mystique.
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Additional resources for A New Approach to Medicine: Principles and Priorities in Health Care
PRIMARY CARE: A SPECIAL FIELD health and disease prevention must be encouraged through a form of continuing personal health education of patients whenever they have contact with the primary care team. Patients will be helped, educated and trained to make proper and best use ofhealth resources. Attempts must be made to deal with the whole person and his (or her) problems and this is easier in the context of primary care because of our knowledge of our patients. The family must be cared fix as the basic social unit and the broad pathologies offamily life must be appreciated and understood.
In a developed country there will be one primary physician to approximately 2500 persons. This feature is responsible for the content of primary care. It means that the content of disease will be those conditions and problems that can be expected to occur in a population base, or denominator, of 2500 persons. It is obvious then that there will be a predominance of the more common conditions and an infrequency of the more rare conditions. Of practical importancc will be decisions on which of the conditions of primary care are amenable to care, eure or prevention and which can be properly undertaken by those working in primary care.
The situation is very different in developing countries. 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.
A New Approach to Medicine: Principles and Priorities in Health Care by John Fry