TAILIEUCHUNG - The History of Family Medicine and Its Impact in US Health Care DeliveryCecilia Gutierrez, MD &

The principles of informed choice and shared decision-making have largely been developed from theoretical and conceptual models. The competencies listed for shared decision-making consist of a number of different skills, and patients have shown that they may value different aspects of shared decision-making. Although the right of patients to be involved in decision-making in regard to their own healthcare is accepted, the practice of shared decision-making may mean that healthcare professionals and patients play different roles than they have to date in healthcare consultations. This may have implications for legal and professional responsibility and accountability. Patients and professionals enter decision-making. | 1 The History of Family Medicine and Its Impact in US Health Care Delivery Cecilia Gutierrez MD Peter Scheid MD University of California San Diego Department of Family and Preventive Medicine Cecilia Gutierrez MD Assistant Clinical Professor Division of Family Medicine UCSD School of Medicine 9500 Gilman Drive Mail Code 0807 La Jolla CA 92093 cagutierrez@ Peter Scheid MD Staff Physician Community Care Health Centers 8041 Newman Avenue Huntington Beach Ca 92647 pscheid@ 2 ABSTRACT Data from the last five years show a decline in the number of students choosing Family Medicine no doubt the reasons are multi-factorial and complex. We believe that one major factor is the disapproval often experienced by students expressing their interest in Family Medicine. This disapproval is based largely on a misunderstanding of Family Medicine s importance in the United States health care delivery. Hence a better understanding of our past and present role in the . might stimulate interest in Family Medicine as a career choice. We present a brief history of Family Medicine in the context of the history of US medicine. We demonstrate the fundamental role of Family Medicine in . healthcare and examine future challenges from Keystone III to the Future of Family Medicine Project. 3 INTRODUCTION Most of us go through training and practicing medicine without receiving any formal education about the history of medicine in the US much less about the history of Family Medicine Where do we come from What forces and people have influenced our specialty What struggles accomplishments and disappointments has the discipline faced How have we contributed to the development of medicine and to the delivery of health care in this country This paper traces our history from the mid-1800s to the present time looks at our history in the context of the development of medicine and medical education in the US as well as the social forces and significant historical events in our .

• Y học thường thức
• patient involvement
• risks and benefits
• informed decision
• Wastewater
• Maillard Reaction
• Pros and Cons
• BMC Musculoskeletal Disorders
• Patient participation
• Patient experience
• Patient satisfaction
• Acute care
• Cluster randomised crossover trial
• Multimedia intervention
• healthcare professionals
• individual patients
• Patient centred care
• Key principle
• Shared decision making
• Disease modifying anti rheumatic drugs
• Importance of Genetic
• Manage Abiotic Stress
• Genetic Diversity