Urban Family Medicine

1. Front Matter

   Pages i-xv

   PDF

2. The Urban Family Physician

   1. Urban Family Medicine: An Historical Overview

      • Steven K. Rothschild

      Pages 1-5

   2. Urban Family Practice: Breadth and Scope

      • Richard Sadovsky

      Pages 6-10

3. The Urban Family

   1. Family Structure and Function

      • Janice L. Benson

      Pages 11-17

   2. Family Organization and Dynamics

      • Alvin H. Strelnick, Margaret Gilpin

      Pages 18-26

   3. The Family Life Cycle in the Urban Context

      • Alvin H. Strelnick, Margaret Gilpin

      Pages 27-41

4. Physician-Patient Interaction

   1. Doctor-Patient Communication

      • Sim S. Galazka, George Drake

      Pages 42-50

   2. Working with Family Systems and Biopsychosocial Problems in Family Practice

      • Emilie Lowerre-Jambois

      Pages 51-57

   3. Compliance: An Urban Nightmare

      • David B. Brecher, Ross L. Egger

      Pages 58-61

   4. The Urban High-Risk Patient

      • Steven Marc Simons

      Pages 62-71

5. Medical Records

   1. Urban Family Mapping

      • Joseph Kertesz

      Pages 72-81

6. Urban Preventive Medicine

   1. Screening and Choice of Diagnostic Tests

      • Richard Wender, Donald Balaban

      Pages 82-91

7. Common Medical Problems in the Urban Sector

   1. Issues in the Health Care of the Urban Adolescent

      • D. Clare Fried, S. Kenneth Schonberg

      Pages 92-97

   2. Alcohol and Drug Abuse in an Urban Environment

      • Frederick B. Cooley

      Pages 98-105

   3. Care of the Urban Elderly

      • James D. Lomax

      Pages 106-116

   4. Psychiatry and the Urban Family Practitioner

      • Martin Kesselman, Cornelius W. Sullivan, Carl I. Cohen

      Pages 117-124

   5. Epidemiologic Concerns of Urban Family Practice

      • Alan B. Steinbach

      Pages 125-134

8. The Primary Care Team

   1. Primary Care Team

      • Ludlow Creary, Ernest Yen

      Pages 135-138

   2. Physical Therapy and Urban Family Medicine

      • Linda Roscetti-Danon, Connie Brignole

      Pages 139-146

   3. Community Resources

      • Jacquelynn K. Otte

      Pages 147-153

Now, more than ever, Family Medicine is alive and well in the United States. The base of this medical specialty has traditionally been in the smaller cities, suburban communities, and rural areas of this country. Over the past decade, however, there has been a resurgence of interest in primary care in our major metropolitan areas as a solution to the high tech subspecialty pace of the tertiary care environment. A rebirth of urban family medicine has accompanied these pioneering efforts. To date, the accomplishments are substantial and the prospects are bright. There is still a long way to go and there are a significant number of hurdles to cross. Although diseases are generally the same wherever you are, their effects as illness on the individual and the family are strongly influenced by the environment and social milieu. Urban families have distinctive and diverse problems-cultural, economic, and ethnic. Training pro­ grams situated in the large cities must recognize these issues and include special emphasis on the situations that the family physician is likely to encounter during and after his training. There is very little research literature on the background and nature of special urban problems and these areas are the subject of several chapters of this long overdue volume devoted specifically to urban family medicine. Dr. Birrer has persuaded true experts to share their knowledge with the reader.

• care
• diagnosis
• medical ethics
• medicine
• psychiatry
• therapy

• Department of Family Practice, SUNY—Downstate Medical Center, Brooklyn, USA

  Richard B. Birrer

Policies and ethics