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John D. Stoeckle, MD; John G. Goodson, MD

JAMA. 1992;268(3):358-360.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

With the medical profession facing challenges today in the organization, financing, and focus of health care, general internal medicine has examined related issues in clinical research, practice organization, and training.

Research studies both in and of practice have addressed modern missions of this specialty, namely (1) to promote prevention in practice populations, (2) to improve care to optimize functional health outcomes, and (3) to expand patient participation in decision making.

Prevention in practice populations has new importance and direction. It substitutes, in part, for community-based public health programs that have lost their traditional governmental support; it promises to reduce the burden of chronic disease, applying epidemiologic research and early treatment; it complements the current emphasis on the hospital care of the very sick; and it gains more professional acceptance as the basic science molecular biology can now explain how preventive interventions may act.¹ The renewed directions and tasks-health . . . [Full Text PDF of this Article]

Author Affiliations
Massachusetts General Hospital, Boston

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