Edmund D. Pellegrino's philosophy of family practice.

Theoretical medicine Pub Date : 1997-03-01
H Brody
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Abstract

Family medicine has grown as a specialty from its early days of general practice. It was established as a Board Certified specialty in 1969. This growth and maturation can be traced in the philosophy of family medicine as articulated by Edmund D. Pellegrino, M.D. Long before it was popular to do so, Pellegrino supported the development of family medicine. In this essay I examine the development of Pellegrino's philosophical thought about family practice, and contrast it to other thinkers like Ian McWhinney, Kerr White, Walter Spitzer, Donald Ransom, and Hebert Vandervoort. The arguments focus on whether the goals of family medicine and family practice (possibly two distinct entities) can be articulated, especially considering the definitional problems of "family" and "community." I conclude by echoing Pellegrino's hope that family medicine can contribute a fresh alternative to isolated, individualistic and technological thinking in medicine.

埃德蒙·d·佩莱格里诺的家庭实践哲学。
家庭医学从早期的全科医学发展成为一门专业。它成立于1969年,是委员会认证的专业。这种成长和成熟可以追溯到埃德蒙·d·佩莱格里诺(Edmund D. Pellegrino)博士所阐述的家庭医学哲学。早在家庭医学普及之前,佩莱格里诺就支持家庭医学的发展。在这篇文章中,我考察了佩莱格里诺关于家庭实践的哲学思想的发展,并将其与Ian McWhinney、Kerr White、Walter Spitzer、Donald Ransom和Hebert Vandervoort等其他思想家进行了对比。争论的焦点是家庭医学和家庭实践(可能是两个不同的实体)的目标是否可以明确表达,特别是考虑到“家庭”和“社区”的定义问题。最后,我呼应了Pellegrino的希望,即家庭医学可以为医学中孤立的、个人主义的和技术思维提供一种新的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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