Concepedia

Concept

family medicine

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Foundational Family-Centered Care

1953 - 1982

During this period, family considerations became central to primary care, with an emphasis on the family as a dynamic unit whose health trajectories unfold across generations. Research favored life-cycle perspectives, preventive and crisis-oriented interventions, and explicit attention to family structure, communication, and social determinants, using broader systems thinking to inform clinical practice. Historical Significance: This era produced foundational frameworks for evaluating family functioning and therapy in general practice, notably multi-dimensional models of family processes and the integration of family dynamics into care. It also advanced recognition of domestic violence as a public health issue, prompting routine screening and coordination with social supports, thereby reshaping primary care's role in safeguarding family well-being.

Life-cycle and transition to parenthood conceptualize the family as a dynamic unit across generations, focusing on family processes and health trajectories in family medicine; exemplars include Transition to Parenthood [4], The Study of the Family [13], New approaches in studying the life cycle of the family [14], Updating the Life Cycle of the Family [11], Parenthood as Crisis: A Restudy [15].

Crisis framing shaped prevention, assessment, and intervention for family disruption, guiding clinical practice and public health perspectives; exemplars include Family Crisis Therapy — Results and Implications [3], The Treatment of Families in Crisis [9], Parenthood as Crisis: A Re-Study [6], Parenthood as crisis restudy [15], and Helping the Battered Child and His Family [1].

Family-level modeling of health and disease patterns uses pedigrees and hereditary risk to illuminate conditions such as parathyroid disorders and hypercholesterolemia; exemplars include Familial Hyperparathyroidism [17], Familial benign hypercalcemia [2], Familial Hypocalciuric Hypercalcemia [10], Family studies in patients with primary parathyroid hyperplasia [8], The inheritance of essential familial hypercholesterolemia [16].

Therapy, psychodynamics, and social determinants broaden family medicine beyond physiology; exemplars include The psychodynamics of family life [20], Exploring the Base for Family Therapy [18], The Study of the Family [13], Family structure in relation to health and disease [19], The Treatment of Families in Crisis [9], Helping the Battered Child and His Family [1].

Standardized Family Assessment Era

1983 - 1995

Patient-Centered Family Medicine

1996 - 2002

Family-Centered Primary Care

2003 - 2009

Family-Centered Continuity of Care

2010 - 2016

Integrated Family-Centered Primary Care

2017 - 2023