DDDDDDDDDDDD Effective management logically follows accurate
diagnosis. Such logic often is difficult to apply in practice.
Absolute diagnostic accuracy may not be possible, particularly in
the field of primary care, when management has to be on analysis of
symptoms and on knowledge of the individual patient and family.
This series follows that on Problems in Practice which was
concerned more with diagnosis in the widest sense and this series
deals more definitively with general care and specific treatment of
symptoms and diseases. Good management must include knowledge of
the nature, course and outcome of the conditions, as well as
prominent clinical features and assess ment and investigations, but
the emphasis is on what to do best for the patient. Family medical
practitioners have particular difficulties and advantages in their
work. Because they often work in professional isolation in the com
munity and deal with relatively small numbers of near-normal
patients their experience with the more serious and more rare
conditions is restricted. They find it difficult to remain
up-to-date with medical advances and even more difficult to decide
on the suitability and application of new and rela tively untried
methods compared with those that are 'old' and well proven. Their
advantages are that because of long-term continuous care for their
patients they have come to know them and their families well and
are able to become familiar with the more common and less serious
diseases of their communities."
General
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