Family Medicine

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World Book of Family Medicine – European Edition 2015 relationships clearly affects the Discipline, which is under the influence of a multitude of conditioning influences, almost without realizing it, on a daily basis. Within any single relationship between Family medicine and its satellite worlds, other sub-systems may come to light which, as a whole, contribute to the building of a universe of related cosmic worlds within an ever-moving and everchanging galaxy. The Discipline must preserve its identity within this context whilst conserving its’ main focus of the holistic approach to human beings. To preserve Family Medicine means to preserve respect, consideration, nobility and the freedom of every man. In this context, the areas in which the pathway to sustainable development guides Family Medicine are: Figure: Cosmology of Family Medicine Bioethics, evidence-based medicine, patient education, primary prevention, primary health care organization, robotics, recording of patient data, the teaching of family medicine, and Family Medicine itself. The actions we need to take are: Strive for the highest quality of family doctors and provide continuing education to ensure the retention and learning of real clinical skills. Improve the study of humanities in the curriculum of future doctors. Improve research in Family Medicine. Always apply the criteria of quality, equity, cost-effectiveness and subsidiarity. Ensure free choice of management information systems. Decrease most of the bureaucratic burdens. Give citizens the opportunity to choose their preferred doctor regardless of geographical location and the number of patients per doctor. Allow doctors and nurses organizational freedom. Knowledge, research and discussion regarding sustainability and sustainable development in Family Medicine are still at “the gates of dawn”. Take home messages 268
World Book of Family Medicine – European Edition 2015 Survival of family medicine is essential for survival of equitable and effective health systems. Independence and autonomy of family physicians must be defended: only a free man can take care of another free man. Only high quality family doctors can ensure the survival of the discipline. Family medicine is the medicine of the person and guarantees the freedom of treatment for each individual. Original abstract http://www.woncaeurope.org/content/72-family-medicine-and-sustainability References Bisconcin M., Maso G., Mathers N.: The European Textbook of Family Medicine: Passoni Editore, Milano; 2006. Maxmen J.S.: The Post-Physician Era: Medicine in the Twenty- First Century. John Wiley & Sons, New York, 1976. Maso G., Marchetto S.: La Ricerca in Medicina di Famiglia: Passoni Editore, Milano; 1995. Maso G., Bisconcin M.: Robotics in Family Medicine: a proposal for a chart. Wonca- Dublin, Ireland, June 14-18, 1998. Maso G., Mathers N.,: How can we analyse the role of family medicine using the principles of evidence-based medicine? EJGP 2004; 10:134-5. Morin E. Les sept savoirs necessaries à l’éducation du future. Unesco, Paris, 1999. European Commission: Green Paper on mobile Health (“mHealth”). Brussel, 10.4.2014. 269
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Family Medicine

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