Download A New Approach to Medicine: Principles and Priorities in by John Fry PDF

By John Fry

Medicine is information. there's consistent public curiosity in wellbeing and fitness and illness; in clinical miracles and in breakthroughs; in scientific mess ups, mess ups 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 such a lot remedy platforms. within the Uni ted nation the nationwide healthiness provider (NHS) now expenses over [6000 million a yr ($ ro 800 million), a unfastened provider that expenditures each British guy, girl and baby [120 a 12 months ($216) in direct and oblique taxes. yet this is often lower than the [500 ($900) a 12 months that therapy expenses everybody in united states and West Germany. In constructed nations well-being care charges are forthcoming ro% ofthe gross nationwide product (GNP). it truly is large company additionally in that during Britain the NHS is likely one of the biggest employers; approximately I million Britons paintings as staff of the NHS, taking good care of the opposite fifty four thousands and within the united states the numbers are five million taking care of 2. five hundreds of thousands. the availability of well-being providers is filled with difficulties and dilemmas. those difficulties and dilemmas pass all' nationwide limitations. All nations percentage an identical difficulties and dilemmas. difficulties of pursuits, of criteria, of effectiveness and potency, and difficulties of relatives among the scientific career, the general public and govern­ ment. therapy nonetheless is stuffed with mystique.

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Was te and extravagence must be avoided. To achieve best results there has to be a national system of data collection, analysis and application to discover what is effective and efficient and what is non-effective and non-efficient. A NEW APPROACH TO MEDICINE SCOPE AND OPPORTUNITIES Primary care provides special opportunities to practice the art of medicine, to use its crafts and to add to its scientific knowledge. In our scientific age it is more important than ever that the potent, and potentially dangerous, investigations, drugs and other therapies are used with the greatest care and discrimination.

They may be anxious or they may need certification or some other help with so ci al security benefits. 2 Percentages of adults taking medicines in a 2-week period in the UK (from Dunnell and Cartwright, 1972) Medicines Analgesics Cough medicines Skin preparations Indigestion mixtures Tonics and vitamins Health salts Liniments, etc. Laxatives Sleeping pills and tranq uillizers Per cent 40 IS IS I2 I I IO IO 9 7 PRIMARY CARE: WHAT 00 THEY COME FOR? In Chapter 3 a detailed analysis of the content of primary care showed the conditions most likely to be encountered.

Attempts at radical cure by the physician may cause more harm than good. This does not mean that sympathetic listening and psychotherapeutic support are not required, rat her that the limits of care and cure must be accepted. 45 A NEW APPROACH TO MEDICINE FUTURE OPPORTUNITIES The primary care physician and his team are in a key position to control the use of services. They can prevent over-use and misuse by control and education, but even more important they should accept the opportunities to extend their care, involvement and interests into the community.

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