Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Interface (Botucatu. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-32832019000100284 |
Resumo: | Family physicians have developed a holistic approach to patients’ care which can facilitate a mutual understanding of different Traditional and Complementary Medicine (T&CM) practices. This analytical paper considers three intertwined issues: (1) Ian McWhinney’s critique of biomedical abstractions (i.e., disease categories); (2) The similarity between the cosmology of family medicine’s organismic thinking and homeopathy’s vitalism as an example of T&CM; and (3) The gradient of explanatory models (EMs) to delineate the space within which T&CM can be applied to patients’ care. In primary health care predominates a blend of physiopathological and semiological EMs comprised of low to moderate risk patients. In this scenario, the introduction of T&CM practices can enhance family physicians’ therapeutic scope. Thus, the combination of gradient of EMs, primary health care attributes, and family physicians’ professionalism can provide the required safe environment for implementing T&CM services. |
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Following McWhinney’s footsteps: from family medicine to traditional and complementary medicinePrimary Health CareFamily practiceHomeopathyComplementary therapiesHealth promotionFamily physicians have developed a holistic approach to patients’ care which can facilitate a mutual understanding of different Traditional and Complementary Medicine (T&CM) practices. This analytical paper considers three intertwined issues: (1) Ian McWhinney’s critique of biomedical abstractions (i.e., disease categories); (2) The similarity between the cosmology of family medicine’s organismic thinking and homeopathy’s vitalism as an example of T&CM; and (3) The gradient of explanatory models (EMs) to delineate the space within which T&CM can be applied to patients’ care. In primary health care predominates a blend of physiopathological and semiological EMs comprised of low to moderate risk patients. In this scenario, the introduction of T&CM practices can enhance family physicians’ therapeutic scope. Thus, the combination of gradient of EMs, primary health care attributes, and family physicians’ professionalism can provide the required safe environment for implementing T&CM services.UNESP2019-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-32832019000100284Interface - Comunicação, Saúde, Educação v.23 2019reponame:Interface (Botucatu. Online)instname:Universidade Estadual Paulista (UNESP)instacron:UNESP10.1590/interface.190036info:eu-repo/semantics/openAccessNorman,Armando HenriqueTesser,Charles Dalcanaleeng2019-08-30T00:00:00Zoai:scielo:S1414-32832019000100284Revistahttps://interface.org.br/PUBhttps://old.scielo.br/oai/scielo-oai.php||revista.interface@gmail.com||intface@fmb.unesp.br1807-57621414-3283opendoar:2019-08-30T00:00Interface (Botucatu. Online) - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine |
title |
Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine |
spellingShingle |
Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine Norman,Armando Henrique Primary Health Care Family practice Homeopathy Complementary therapies Health promotion |
title_short |
Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine |
title_full |
Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine |
title_fullStr |
Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine |
title_full_unstemmed |
Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine |
title_sort |
Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine |
author |
Norman,Armando Henrique |
author_facet |
Norman,Armando Henrique Tesser,Charles Dalcanale |
author_role |
author |
author2 |
Tesser,Charles Dalcanale |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Norman,Armando Henrique Tesser,Charles Dalcanale |
dc.subject.por.fl_str_mv |
Primary Health Care Family practice Homeopathy Complementary therapies Health promotion |
topic |
Primary Health Care Family practice Homeopathy Complementary therapies Health promotion |
description |
Family physicians have developed a holistic approach to patients’ care which can facilitate a mutual understanding of different Traditional and Complementary Medicine (T&CM) practices. This analytical paper considers three intertwined issues: (1) Ian McWhinney’s critique of biomedical abstractions (i.e., disease categories); (2) The similarity between the cosmology of family medicine’s organismic thinking and homeopathy’s vitalism as an example of T&CM; and (3) The gradient of explanatory models (EMs) to delineate the space within which T&CM can be applied to patients’ care. In primary health care predominates a blend of physiopathological and semiological EMs comprised of low to moderate risk patients. In this scenario, the introduction of T&CM practices can enhance family physicians’ therapeutic scope. Thus, the combination of gradient of EMs, primary health care attributes, and family physicians’ professionalism can provide the required safe environment for implementing T&CM services. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-32832019000100284 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-32832019000100284 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/interface.190036 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
UNESP |
publisher.none.fl_str_mv |
UNESP |
dc.source.none.fl_str_mv |
Interface - Comunicação, Saúde, Educação v.23 2019 reponame:Interface (Botucatu. Online) instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Interface (Botucatu. Online) |
collection |
Interface (Botucatu. Online) |
repository.name.fl_str_mv |
Interface (Botucatu. Online) - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
||revista.interface@gmail.com||intface@fmb.unesp.br |
_version_ |
1748958523824275456 |