Doctoring: The Nature of Primary Care Medicine Book uri icon


MeSH Major

  • Cooperative Behavior
  • Ethics, Research
  • Personal Autonomy
  • Physician-Patient Relations
  • Power (Psychology)


  • © 1997 by Oxford University Press, Inc. All rights reserved.This book shows how much better fitted advanced concepts of primary care medicine are to America's health-care needs. It offers insights into how primary care physicians can be better trained to meet the needs of their patients, both well and sick, and to keep these patients as the focus of their practice. Modern medical training, the book notes, arose at a time when medical science was in ascendancy. Thus the ideals of science - objectivity, rationality - became the ideals of medicine, and disease - the target of most medical research - became the logical focus of medical practice. When clinicians treat a patient with pneumonia, they are apt to be thinking about pneumonia in general - which is how they learn about the disease - rather than this person's pneumonia. This objective, rational approach has its value, but when it dominates a physician's approach to medicine, it can create problems. Most important, this book argues that primary care medicine should become a central focus of America's health care system, not merely a cost-saving measure as envisioned by managed care organizations. Indeed, the book shows that the primary care physician can fulfill a unique role in the medical community, and a vital role in society in general. It shows that primary care medicine is not a retreat from scientific medicine, but the natural next step for medicine to take in the coming century.

publication date

  • November 17, 2011



  • Book


Digital Object Identifier (DOI)

  • 10.1093/acprof:oso/9780195113235.001.0001

International Standard Book Number (ISBN) 13

  • 9780199999828

Additional Document Info

start page

  • 1

end page

  • 220