A Textbook of Family Medicine

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Oxford University Press, 1997 - Medical - 448 pages
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Since the previous edition of Ian McWhinney's text was published in 1989, family medicine has assumed an increasingly important role in the modern health care system. The growth of managed care in The United States and of similar movements in other countries has made it more important than ever to define and conceptualize the discipline and to synthesize its body of knowledge and skills. The author brings to this task a lifetime's experience in family practice and academic family medicine.
The first edition was widely acclaimed for its originality, depth of analysis, and elegant style. The book has now been extensively revised, while retaining its original structure. The first ten chapters are devoted, as before, to a conceptualization and description of the field, Much new material has been added on the patient-centered clinical method, illness narratives, the biological basis of family medicine, health promotion, the concept of risk, and the contribution of evidence-based medicine. Chapter 9 now includes an authoritative review of evidence-based preventive strategies.
The five clinical chapters exemplify the application of basic principles in practice. These have all been updated with the results of new research. The chapters on the practice of family medicine cover such topics as home care, records and practiced management. The revisions of these reflect many changes that have occurred since the first edition. A new chapter on alternative (complementary) medicine fills the need for reliable information on this topic. The book has been designed to be read as a whole, with fundamental ideas forming a continuous thread which runs through all its sections.
 

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Contents

The Origins of Family Medicine
3
Principles of Family Medicine
13
Illness in the Community
29
A Profile of Family Practice
37
Philosophical and Scientific Foundations of Family Medicine
47
Illness Suffering and Healing
83
DoctorPatient Communication
104
Clinical Method
129
Fatigue
295
Hypertension
319
Diabetes
343
Home Care
369
Records
377
The Health Professions
388
The Community Service Network
397
Practice Management
411

The Enhancement of Health and the Prevention of Disease
179
Acute Sore Throat
261
Headache
276
Continuing SelfEducation
423
Index
439
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About the author (1997)


Ian R. McWhinney, M.D., is Professor Emeritus in Family Medicine at the University of Wesatern Ontario, Canada.

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