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Medicine??s Great Schism

Prevention vs. Cure: An Historical Interpretation

Bibliographic Data

ID9103326
AuthorsJohn Gordon Freymann (Connecticut State Department of Education, corresponding author)
Year1975
Volume13
Issue7
Pages525-536
Publication date1975-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197507000-00001
PMID1095842
OpenAlexW1980876045
LanguageEN
Citations received5
References cited3

All societies, primitive and advanced, demand therapeutic services, but a society must develop sophisticated prerequisites before it can support preventive services. This discordance in the origins of curative medicine and public health does not explain why a schism between them still persists. This gap should be closed since medicine has cured most curable diseases and the residue of chronic conditions is best handled by preventing them or detecting them before they become medical crises. Reasons for persistence of the schism include; early concentration of public health on environmental sanitation to the exclusion of medicine; identification of public health was governmental bureaucracy; linking care of the poor with tight-fisted welfarism; existence of two separate educational systems, the view of doctors, who are activists by nature, toward the excitement of cure; the custom of paying only for active therapy; and the orientation of the Hippocratic ethic toward individuals

Bureaucracy · Hippocratic Oath · Interpretation (philosophy) · Political science · Psychiatry · Public health · Sanitation · Schism · Welfare · Welfarism · Global Public Health Policies and Epidemiology · Law · Medicine · Nursing · Philosophy

  • The primary prevention of illness

    Open Access•Alex M Clarke, Linda L Viney•Australian Psychologist•1984

  • Primary Prevention Concerns

    Open Access•Michael Roskin, Martin Bloom•International Social Work•1984

  • The value of medical care for health promotion

    Milton I Roemer•American Journal of Public Health•1984

  • A framework for prevention

    Nancy Milio•American Journal of Public Health•1976

  • The Social History of Social Policy

    Open Access•Jane Lewis•Journal of Social Policy•1980

  • Education for health services administration

    Milton I Roemer•American Journal of Public Health…•1969

  • Public Health in the Town of Boston, 1630-1822

    Donald Fleming, John B Blake•The New England Quarterly•1960

  • Social Change and Medical Organization in the United States

    Open Access•Talcott Parsons•The Annals of the American…•1963

Unique citing works5
Citations per year0,1
Citation span1976 - 1984 (9)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5
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