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Family Practice Vol1 , No. 1 © Oxford University Press 1983 Printed in Great Britain Family Determinants of Disease. I. General Principles and Concepts JACK H MEDALIE After my residency training and military service I until I realized gradually that it had funda- began to practise in a rural area, feeling very mentally changed my way of thinking about confident of my abilities. But I was soon faced patients. with a patient and his wife who altered my self- esteem and changed my way of thinking about Let me mention some of the ways my thinking patients, completely and permanently. changed. A couple who had moved into a house in a 1. The identified patient is not my only nearby village asked me to see the husband. He responsibility—the family is my patient as well. In fact I soon realized that whatever is done or had recently been discharged from hospital after said to one's patient will be transmitted to the an acute myocardial infarction. I visited them in patient's intimate associates—usually the family their home at least twice a week for the next four and household, but sometimes the patient's weeks, and all my clinical observations, peers. In
Family Practice – Oxford University Press
Published: Mar 1, 1984
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