Primary Care and Family Medicine Article Review by scribbler

Primary Care and Family Medicine
A discussion on the benefits of primary care strategies in family medicine, based on the article "One Giant Leap for Family Medicine" by P.A. Pugno.
# 152558 | 1,389 words | 2 sources | APA | 2013 | US
Published on Mar 17, 2013 in Medical and Health (Public Health Issues)

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The paper discusses how P.A. Pugno's article, "One Giant Leap for Family Medicine", addresses the impact of the reduced focus of medicine on primary care, identifying this as a catalyst to some of the problems that we as a society are currently facing. The paper explains the author's argument that specialization is resulting in a diminished set of expectations for the range and expertise of individual physicians, and when one's treatment strategy is too greatly splintered amongst specialists, the individual cannot be treated based on a personal health profile but only on his symptoms. The paper explains how primary care strategies are centered on the establishment of a relationship between patient and physician and this allows 'patient-centered' treatment strategies. The paper discusses Pugno's ideas on why primary care strategies are particularly important in family healthcare and then provides this writer's view on Pugno's argument from the perspective of healthcare professional and patient.

Future of Family Medicine in Primary Care
Preference as a Public Health Professional
Preference as a Patient

From the Paper:

"This, the article indicates, is resulting in a diminished set of expectations for the range and expertise of individual physicians. Indeed, Pugno expresses concern that the emphasis on what he calls a reductionist approach to providing medical treatment is leading to a generation of healthcare providers with extremely narrow bodies of knowledge within the broader context of treatment. This, in turn, has the consequence of provoking certain prejudices where therapeutic approaches, philosophies of treatment, methodologies of treatment and strategies for wellness which may be impenetrable due to the limited scope of the practitioner in question.
"To Pugno, this invokes a consideration of today's prevailing strategies where medical education is concerned. The imperative to create and parse specialists in ever more specific ways has eroded the educational demands placed upon the physicians of the immediate future. As Pugno points out, "the recent report by the Institute of Medicine recommending further reductions in residency training duty hours further serves to narrow what can and is being taught to the physicians of tomorrow. The favorable trend toward practicing evidence-based medicine has revealed a 'dark side' through the indiscriminate application of idealized clinical pathways that seem to validate the aphorism 'one size fits nobody.'" (Pugno, 24)"

Sample of Sources Used:

  • Pugno, P.A. (2010). One Giant Leap for Family Medicine: Preparing the 21st-Century Physician to Practice Patient-Centered, High-Performance Family Medicine. JABFM, 23.
  • Starfield, B.; Shi, L. & Macinko, J. (2005). Contribution of Primary Care to Health Systems and Health. The Milbank Quarterly, 83(3), 457-502.

Cite this Article Review:

APA Format

Primary Care and Family Medicine (2013, March 17) Retrieved April 17, 2024, from

MLA Format

"Primary Care and Family Medicine" 17 March 2013. Web. 17 April. 2024. <>