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October 1990

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

Author Affiliations

Ann Arbor, Mich

Arch Intern Med. 1990;150(10):2014-2015. doi:10.1001/archinte.1990.00390210016005

The present medical database is outdated: it's time for a change!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

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