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The Present Medical Database Needs Reorganization: It's Time for a Change!

The Present Medical Database Needs Reorganization: It's Time for a Change! Abstract The present medical database is outdated: it's time for a change! The medical profession is "disease oriented." Specifically, most of the focus in medical school is on the pathophysiology of disease processes and on the differential diagnosis and treatment of active medical problems. The "excitement" in medicine is to solve and cure an active clinical problem. Some commentators have felt that only lip service has been paid for preventive medical efforts. 1 In fact, little financial incentive is provided for physicians to practice preventive medicine: many preventive services are not even reimbursed to patients by third-party payers.2 Now, fortunately, much more active attention is being directed toward preventive aspects of medical practice.3,4 Here at the University of Michigan Medical School, Ann Arbor, we are trying to correct the problem at its roots. Instead of allowing the students who enter our medical school to "grow up" steeped in disease References 1. Charap MH. The periodic health examination: genesis of a myth . Ann Intern Med . 1981;95:733-735.Crossref 2. Delbanco TL, Taylor WC. The periodic health examination 1980 . Ann Intern Med . 1980;92:251-252.Crossref 3. Medical Practice Committee, American College of Physicians. Periodic health examination: a guide for designing individualized preventive health care in the asymptomatic patients . Ann Intern Med . 1981;95:729-732.Crossref 4. Council on Scientific Affairs. Medical evaluation of healthy persons . JAMA . 1983;249:1626-1633.Crossref 5. Weed LL. Medical records that guide and teach . N Engl J Med . 1968;278:593-600.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

The Present Medical Database Needs Reorganization: It's Time for a Change!

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Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1990.00390210016005
Publisher site
See Article on Publisher Site

Abstract

Abstract The present medical database is outdated: it's time for a change! The medical profession is "disease oriented." Specifically, most of the focus in medical school is on the pathophysiology of disease processes and on the differential diagnosis and treatment of active medical problems. The "excitement" in medicine is to solve and cure an active clinical problem. Some commentators have felt that only lip service has been paid for preventive medical efforts. 1 In fact, little financial incentive is provided for physicians to practice preventive medicine: many preventive services are not even reimbursed to patients by third-party payers.2 Now, fortunately, much more active attention is being directed toward preventive aspects of medical practice.3,4 Here at the University of Michigan Medical School, Ann Arbor, we are trying to correct the problem at its roots. Instead of allowing the students who enter our medical school to "grow up" steeped in disease References 1. Charap MH. The periodic health examination: genesis of a myth . Ann Intern Med . 1981;95:733-735.Crossref 2. Delbanco TL, Taylor WC. The periodic health examination 1980 . Ann Intern Med . 1980;92:251-252.Crossref 3. Medical Practice Committee, American College of Physicians. Periodic health examination: a guide for designing individualized preventive health care in the asymptomatic patients . Ann Intern Med . 1981;95:729-732.Crossref 4. Council on Scientific Affairs. Medical evaluation of healthy persons . JAMA . 1983;249:1626-1633.Crossref 5. Weed LL. Medical records that guide and teach . N Engl J Med . 1968;278:593-600.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Oct 1, 1990

References