Assignment: Poor Sanitation

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Assignment: Poor Sanitation

Assignment: Poor Sanitation

The physician. Early health care was concerned with the individual. Public health and prevention were emphasized and dominated most thinking until the early 1900s. Until that time, the state of medicine was primitive and lacked a scientific base. Also, health problems were primarily a result of poor sanitation, poor living conditions, and con taminated water. Health care has changed because medicine has become a scientific discipline as well as a political force.

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Specialist societies were formed for scientific and educational purposes. Most physicians initially were general practitioners, but focused on a specialty part time. A particularly strong influence for change in medicine was the publication of the Flexner report in 1904, where the disparities in the quality of education and the standards of performance in teaching institutions were exposed. This led to the development of medicine as a science. Physicians are generally trained to think science and to think “sick.” Most are dedicated to saving life at all costs.

Few are oriented to the humanities and social sciences. The profession requires a tremendous time commitment to ensure competence. The physician is the person each of us turns to for guidance and direction when we have a health problem.

Physicians are in powerful positions and play a critical role in the delivery of care and in any changes in health care delivery.

IV. Medical school. Medical schools for the most part continue to separate the art and the science of medicine. They remain elite and do not use community resources for health delivery. The schools continue to prepare specialists and do not emphasize the social and behavioral sciences.

V. The health care administrator. This individual is taught to be decisive and in control, and the measurement of his or her performance is best described by the following “want ad” for a health facility administrator:


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