Abstract
This essay critiques the traditional division between curative and preventive medicine, arguing for a holistic medical perspective that treats individuals as social beings influenced by environmental and societal factors. It emphasizes that effective medical care must begin with prevention, not just react to symptoms. The role of public health extends beyond treating disease—it involves identifying the ecological and social determinants of health. The paper explores historical shifts in preventive medicine, particularly following WWII, and illustrates the need for physicians to engage not just in treatment, but also in safeguarding public health through community-based strategies. A diagram is presented to show the progression from health to disease, highlighting both primary and secondary prevention.
References
- 1 – BAKST, H. J.: Medical Care, The Journal of Medical Education, 28: 40, 1953.
- 2 – HOBSON, W. M. D., PEMBERTON, J.: Teaching of Social Medicine in the University of Sheffield, The Lancet II, No: 6626: 323, 1956.
- 3 – HUBBARD, J., CLARK, D.: Preventive Medicine and the Colorado Spring Conference, The Journal of Medical Education, 31: 151, 1956.
- 4 – LEAVELL, H. R., CLARK, E. G.: Preventive Medicine for the Doctor in His Community, Second Edition; McGraw-Hill; New York, Toronto, London, 1958.
- 5 – "Methodes et Moyens d'Enseignement de L'Hygiène et la Médecine Préventive", O.M.S. – Conférence Européenne Octobre 1952, Novembre 1952.
- 6 – Program of the Third Year Course Community Medicine Department of Public Health and Preventive Medicine, University of Pennsylvania School of Medicine, 1957–1958.
- 7 – RUTSTEIN, D. M. D.: Plans for Improvement of Teaching of Preventive Medicine, Docket for Meeting of the Faculty, Harvard University–Boston, May 2, 1952.
- 8 – READER, G. G.: Comprehensive Medical Care, The Journal of Medical Education, 28: 34, 1953.
- 9 – State University College of Medicine at New York City, Department of Environmental Medicine and Community Health Annual Report, 1956–1957.
- 10 – TAYLOR, C. E.: The Teaching of Preventive Medicine Around the World, The Journal of Medical Education, 32: 399, 1957.
- 11 – URAL, Z. F.: Gülhane Hijyen Dersleri, 1936.
- 12 – URAL, Z. F.: Koruyucu Hekimlik I – Hijyen ve Sanitasyon, 1956, 2. Baskı, Ankara Tıp Fakültesi Yayınları, Sayı: 58.
- 13 – URAL, Z. F.: Koruyucu Hekimlik II – Genel Epidemiyoloji, 1959, 2. Baskı, Ankara Üniversitesi Tıp Fakültesi Yayınları, Sayı: 77.
Abstract
Bu yazı, hekimliğin tedavi ve koruma şeklinde iki ayrı kategoriye ayrılmasının yanlış sonuçlara yol açtığını vurgulayarak, insanı sağlığı ve hastalığıyla bir bütün olarak ele alan kapsamlı bir yaklaşımı savunur. Etkin tıbbi bakımın hastalık ortaya çıkmadan önce başlaması gerektiği, yalnızca tedaviye dayalı hizmetlerin yeterli olmayacağı belirtilmiştir. II. Dünya Savaşı’ndan sonra koruyucu hekimlik yeni kitle hastalıkları karşısında genişleyerek yalnız mikrobiyoloji ve epidemiyolojiye değil, aynı zamanda sosyal çevreye ve muhit faktörlerine yönelmiştir. Çalışmada yer alan şema ile hastalığın oluşum mekanizmaları ve bunlara karşı alınması gereken birincil ve ikincil koruyucu önlemler açıklanmıştır.
References
- 1 – BAKST, H. J.: Medical Care, The Journal of Medical Education, 28: 40, 1953.
- 2 – HOBSON, W. M. D., PEMBERTON, J.: Teaching of Social Medicine in the University of Sheffield, The Lancet II, No: 6626: 323, 1956.
- 3 – HUBBARD, J., CLARK, D.: Preventive Medicine and the Colorado Spring Conference, The Journal of Medical Education, 31: 151, 1956.
- 4 – LEAVELL, H. R., CLARK, E. G.: Preventive Medicine for the Doctor in His Community, Second Edition; McGraw-Hill; New York, Toronto, London, 1958.
- 5 – "Methodes et Moyens d'Enseignement de L'Hygiène et la Médecine Préventive", O.M.S. – Conférence Européenne Octobre 1952, Novembre 1952.
- 6 – Program of the Third Year Course Community Medicine Department of Public Health and Preventive Medicine, University of Pennsylvania School of Medicine, 1957–1958.
- 7 – RUTSTEIN, D. M. D.: Plans for Improvement of Teaching of Preventive Medicine, Docket for Meeting of the Faculty, Harvard University–Boston, May 2, 1952.
- 8 – READER, G. G.: Comprehensive Medical Care, The Journal of Medical Education, 28: 34, 1953.
- 9 – State University College of Medicine at New York City, Department of Environmental Medicine and Community Health Annual Report, 1956–1957.
- 10 – TAYLOR, C. E.: The Teaching of Preventive Medicine Around the World, The Journal of Medical Education, 32: 399, 1957.
- 11 – URAL, Z. F.: Gülhane Hijyen Dersleri, 1936.
- 12 – URAL, Z. F.: Koruyucu Hekimlik I – Hijyen ve Sanitasyon, 1956, 2. Baskı, Ankara Tıp Fakültesi Yayınları, Sayı: 58.
- 13 – URAL, Z. F.: Koruyucu Hekimlik II – Genel Epidemiyoloji, 1959, 2. Baskı, Ankara Üniversitesi Tıp Fakültesi Yayınları, Sayı: 77.
Details
| Primary Language | English |
|---|---|
| Subjects | Preventative Health Care, Public Health (Other) |
| Journal Section | Review |
| Authors | |
| Publication Date | June 30, 1961 |
| Published in Issue | Year 1961 Volume: 14 Issue: 2 |