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Medicine: meritorious or meretricious.

F J Ingelfinger

    Science (New York, N.Y.)
    |May 26, 1978
    PubMed
    Summary

    American society is disenchanted with physicians despite medical advances. This stems from high costs, unrealistic expectations, and the complex burden placed on doctors beyond illness management.

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    Area of Science:

    • Medical Sociology
    • Healthcare Policy
    • Physician-Patient Relations

    Background:

    • Despite significant advancements in medical treatments and diagnostic technologies, a notable decline in public trust towards physicians is observed in American society.
    • This phenomenon presents a paradox, contrasting technological progress with a growing societal disillusionment regarding the medical profession.

    Purpose of the Study:

    • To analyze the multifaceted reasons behind the increasing disenchantment of American society with physicians.
    • To explore the gap between public expectations and the current realities of medical practice and physician roles.

    Main Methods:

    • Qualitative analysis of societal perceptions and expectations regarding healthcare.
    • Review of factors contributing to the physician-patient relationship challenges.
    • Examination of the economic and ethical dimensions of modern medical care.

    Main Results:

    • Key factors contributing to disillusionment include the high cost of medical care and the overselling of medicine's capabilities.
    • Public expectations demand physicians be both highly scientific and deeply empathetic, a dual role difficult to fulfill.
    • Lack of recognition that treating illness in the elderly can lead to other health issues complicates patient outcomes.

    Conclusions:

    • The physician's role is overly broad, extending beyond illness management to include societal and personal health practices.
    • Reconciling advanced medical capabilities with public expectations and managing the complexities of elderly care are critical challenges.
    • Addressing the root causes of societal disenchantment is essential for restoring trust in the medical profession.

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