Community medicine from the point of view of the general practitioner: “Never plump your foot straight into your shoe in the morning"
Journal Title: International Journal of Advanced Community Medicine - Year 2018, Vol 1, Issue 1
Abstract
This article aims to reflect and show the changes that community medicine has to be applied from general medicine. The basic concepts of general medicine / family medicine print important special and differential features to the tasks and tools of community medicine, and these have not been sufficiently conceptualized, systematized and highlighted. The three key elements of general medicine, which are the clinical interview, continuity of care and attention to context, have fundamental implications in relation to community medicine. So, on the one hand, the "classic" concepts of community medicine as epidemiology, biostatistics, social medicine, planning, health education, and health promotion, suffer changes and modifications when understood and applied from general medicine; for example, regarding the knowledge of the prevalence and incidence based on the consultations, knowledge of the natural history of a disease, the screening becomes "case finding", the importance of work on small geographic bases increases, as well as Bayesian probability, and concept of "opportunistic prevention" appears. On the other hand, the concept of "community" is modified and replaced by "context"; The practice of community medicine in general medicine is "contextual medicine", which means sharing and empowerment in the connections in the relational matrix of the patient, and this may favor contextual empowerment, that is to say the increase of individual capacity among people who participate in a group action that brings about a consequence about some kind of resources or control of the decision-making process. In conclusion, general practitioner should not apply the concepts of community medicine as person who "plump the foot straight into shoe in the morning", in an unspecified or unreflective manner, as he may be risking finding a "centipede inside" and losing the advantages offered by general medicine.
Authors and Affiliations
Dr. Jose Luis Turabian
Keywords
Related Articles
- EP ID EP494883
- DOI -
- Views 136
- Downloads 0
Occupational risk of HCV infection among slaughter house workers
Objectives: To investigate the risk of HCV infection among slaughter house workers (SHWs). Methods: This cross-sectional study involved 369 SHWs recruited from 3 governorates. A pre-questionnaire was filled. HCV antibody...
Critical review of a scientific publication: An insight
The ever-increasing number of scientific publications has made the critical review/appraisal of articles necessary to weed out the irrelevant scientific publications as well as to remain up to date. The aim of this artic...
Prevalence of post mastectomy pain syndrome and its impact on quality of life of breast cancer survival in Sri Lanka
The breast cancer is the commonest carcinoma among females in Sri Lanka and majority of them are offered mastectomy. However, mastectomy itself cause many complications including Post Mastectomy Pain Syndrome which detri...
Oral hygiene knowledge, attitude, practice and self-perception of personal dental appearance among majmaah university female student, KSA
Background: Oral and general health status depends on a dynamic interplay of several factors, including the individual’s personal knowledge, attributes, behaviors, and perceptions. Oral health knowledge is considered to...
Community medicine from the point of view of the general practitioner: “Never plump your foot straight into your shoe in the morning"
This article aims to reflect and show the changes that community medicine has to be applied from general medicine. The basic concepts of general medicine / family medicine print important special and differential feature...