History of Science 2200E Lecture Notes - Lecture 19: Health Promotion, Primary Care Physician, Quality Assurance
4 Oct 2018
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The chronic problems of an aging population, polypharmacy, iatrogenic illness, and the impersonal face of a medical establishment centred on hospitals have combined to create a continuing role for the family physician. The doctor who actually knows and remembers the patient and her family is essential. (duffin, Community records (dispensaries, hospitals, religious and charity groups) Innovative use of technology (forceps) and scientific authority. Evolution of general practice: early 19th century: physician-surgeons emerge as a profession regulation of medical profession by apothecaries act (uk) (1815) By the 1900s, most physicians were general practitioners (but some were specialist researchers or professors) (duffin, 376) Snapshot of practice in late 19th early 20th centuries. Deliveries small operations (e. g. , teeth extractions, sutures, dislocations) (duffin, 377-81) Kept pace with latest developments (e. g. , anesthesia, antiseptic, thermometers) (duffin, 381-2) Now regarded as a nostalgic period of the trusted family doctor. Stigma associated with general practice led to the change of name to family.
