विवरण
The specialty of family medicine was created in 1969 to fulfill the generalist function in medicine, which suffered with the growth of subspecialization after World War II.” Since the specialty’s creation, family medicine has provided personal, front-line general medical care to patients of all ages, genders, income levels, education, and occupations across the United States. This speciality plays an important role in providing direct and continuous care of a person and their family. These physicians take care of all types of conditions and believe they all need attention. Family medicine physicians are trained to address the most pressing and most common medical needs of patients without being limited by age or gender. They also practice a range of medical subjects and specialties, rather than the depth of a specific medical field. The focus of a family physician is the patient as a whole.
सारांश
- Family medicine is an internationally recognized discipline encompassing the knowledge domain and medical specialty of primary care doctors, stemming from the historic tradition of general practice. It focuses on comprehensive care for individuals and their families, considering physical, psychological, and social aspects, covering all organs and genders across all age groups.
- Family medicine developed as a counter to the fragmentation of medical care, acting as the first point of contact in many countries, filtering patients and triaging them to the appropriate specialist. This system structures tertiary care facilities and ensures the right patient reaches the right place, forming the backbone of any healthcare delivery system.
- While community medicine specialists focus on supervising health determinants and policy-making, family medicine physicians provide disease care, making an MBBS degree with postgraduate training ideal for this role. The key difference lies in their practical approach.
- The role of family physicians involves maintaining health, being accessible for illnesses, and taking responsibility for patients' well-being. They detect early departures from an individual's unique baseline, manage patients long-term within family and community settings, and coordinate healthcare with other specialists.
- The foundation of family medicine is derived from clinical medicine, epidemiology, human behavior (sociology), and a combination of pediatric psychology and sociology. Primary functions include routine checkups, immunizations, preventive screenings, managing common medical complaints, and initial diagnosis.
- Wagner's chronic care model emphasizes community resources, a supportive healthcare system, care delivery, informed patients, and prepared practice teams, leading to satisfactory outcomes. This model addresses the shortcomings of traditional healthcare systems.
- Family medicine is both a science and an art, utilizing communication and empathy to understand patients' illnesses by understanding the patient as a whole. It involves building relationships and tailoring treatments to individuals rather than following protocols rigidly.
- Specialists are needed for complex conditions, rare diseases, acute conditions, specific procedures, and cutting-edge treatments. Family physicians must be aware of their limitations and collaborate with specialists to provide optimal care.
- Family physicians act as the joining link between various specialists and help coordinate care, preventing patients from wasting time and money on unnecessary tests. By knowing the patient as a whole and understanding their background, they can ensure the right treatment plan is followed.
- During the COVID-19 pandemic, family physicians played a vital role by building networks, addressing the crisis through webinars, and working with international organizations. They adapted to the challenges by using telemedicine, home delivery services, and restructuring healthcare services.
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कंसल्टेंट फैमिली फिजिशियन और प्रिंसिपल मेडिकल ऑफिसर – जनरल मेडिसिन – फोर्टिस हेल्थकेयर
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