In my editorial1 I primarily addressed the training needs of physicians and the quality of care that patients should receive, not who should provide this care. More important than who provides the care is the separation of curative clinical care from prevention and public health. This separation can be traced back to Greek mythology in which Aesculapius, the son of Apollo and a mortal, was known as the god of medicine, and in his honor temples and shrines were erected throughout Greece and the Roman Empire.2 Of lesser notoriety was his daughter, Hygeia, the Greek goddess of health, whose following was small in comparison with her father's. This strong preference for curative care above the promotion of health has continued into modern times. It has led to a fragmentation of efforts among those providing for the well being of the population.
Smith GA. Melding Fields of Care—Reply. Arch Pediatr Adolesc Med. 2001;155(6):739. doi:https://doi.org/10.1001/archpedi.155.6.739
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: