The Evolution/Revolution of Family Medicine
Marjorie A. Bowman, MD, MPA
Arch Fam Med. 1994;3(5):404-408.
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WHAT HAS FAMILY MEDICINE been, and what will it become in the future? In many ways, my projection of what our future will be is, in essence, a direct reflection of how I perceive our recent past.
BACKGROUND: FAMILY PRACTICE
Family physicians are the first professional contact for medical problems. Family medicine emphasizes urgent, preventive, and continuous care of office-based problems. The care is provided in the context of family, occupation, and community issues. Family medicine is comprehensive: family physicians request consultation for about 5% of visits. We advocate for patients as they traverse the medical care system.
ADVANCES AFFECTING FAMILY PRACTICE
There have been at least five kinds of advances or major changes in US medicine that I believe particularly affect family medicine and that will continue to instigate change in the future: the changing physician-patient relationships, the increased number and type of available treatments, increased preventive strategies, increased
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Bowman Gray School of Medicine Winston-Salem, NC