Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Client-oriented medicine.

D Black

    Ciba Foundation Symposium
    |January 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Radical changes in medical education and practice are needed to better serve community health needs beyond acute hospital care. This involves shifting focus to primary care, patient outcomes, and addressing the needs of all patient groups.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    ENGOT-en11/GOG-3053/KEYNOTE-B21: a randomised, double-blind, phase III study of pembrolizumab or placebo plus adjuvant chemotherapy with or without radiotherapy in patients with newly diagnosed, high-risk endometrial cancer.

    Annals of oncology : official journal of the European Society for Medical Oncology·2024
    Same author

    Overall survival in patients with endometrial cancer treated with dostarlimab plus carboplatin-paclitaxel in the randomized ENGOT-EN6/GOG-3031/RUBY trial.

    Annals of oncology : official journal of the European Society for Medical Oncology·2024
    Same author

    Benign Enhancing Foramen Magnum Lesions.

    AJNR. American journal of neuroradiology·2023
    Same author

    Measurement of Direct-Photon Cross Section and Double-Helicity Asymmetry at sqrt[s]=510  GeV in p[over →]+p[over →] Collisions.

    Physical review letters·2023
    Same author

    Diagnosis and medical management of abnormal premenopausal and postmenopausal bleeding.

    Climacteric : the journal of the International Menopause Society·2023
    Same author

    Vagal preganglionic axons arborize in the myenteric plexus into two types: nitrergic and non-nitrergic postganglionic motor pools?

    American journal of physiology. Regulatory, integrative and comparative physiology·2023

    Area of Science:

    • Medical Education
    • Public Health
    • Health Services Research

    Background:

    • Current medical education and practice overemphasize acute hospital medicine.
    • This neglects primary community care and the needs of specific patient groups like the elderly and disabled.
    • Existing systems prioritize morbidity over mortality and 'cure' over 'care'.

    Purpose of the Study:

    • To explore methods for assessing health service priorities in biomedical research.
    • To address the gap between socially desirable health reforms and scientific feasibility.
    • To investigate the challenges in reorienting medical practice towards community needs.

    Main Methods:

    • Review of arguments for changes in medical education and practice (Illich, Kerr White, Cochrane).

    Related Experiment Videos

  • Analysis of current medical practice's focus on acute care versus primary care.
  • Examination of information systems, quality control (outcomes vs. structure/process), and trial methodologies.

    • Main Results:

    • Significant challenges exist in integrating 'client-group' statistics with biomedical 'disease-system' categories.
    • Patient expectations, the appeal of specialized practice, and links to broader science pose difficulties.
    • Quantifying the relative weighting of multiple health service priorities is complex.

    Conclusions:

    • Reforming medical education and practice requires addressing inherent systemic and practical challenges.
    • A shift towards community-based care and patient outcomes is advocated but faces significant hurdles.
    • Further research is needed to develop methods for prioritizing health services, acknowledging the role of value judgments.