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* LOCATION OF
 MEDICAL
 PRACTICE AND P/D
 RELATIONSHIP

Mohamed Nabil Taha
*Patient Doctor
       relationship
1400 BC
 Gifts for
 sending
doctors to
  other
  kings




             *Historical outlook
                       Ancient Egypt
500 BC

  “In every house
 where I come, I will
enter for the good of
    my patients”




               *Historical outlook
                         Ancient Greek
300 BC

Medicine was
practiced in a
   family
environment




          *Historical outlook
                    Ancient Rome
8th  15th
  centuries

  “Bimaristans”
Providing care on
       site




           *Historical outlook
                     Islamic culture
18th century 
Bedside Medicine

 19th century 
hospital medicine

Late 19th century
   Laboratory
    medicine



              *Historical outlook
                       Western culture
*Historical outlook
*Impact of location
       on P/D relationship
On patients’ ground            On doctor’s ground
*Power with patient and        *Colleague approval is the
 their family                   dominant factor
*Care was related to the       *Patient had multiple
 wishes of the patient          encounters with nurses
*Doctor’s behavior was          but doctors less often
 influenced by the desire to   *Patient care is provided by
 keep a family’s custom.        team rather than single
                                individual

                  *Impact of location
                                on P/D relationship
*Now  a day, physicians expect their patients to
 consult them at their practice; with few
 exceptions, they refuse to make house calls.


*Those who are able to get out and about and yet
 refuse to come to us for their consultation – well
 let them stay away.



                 *Impact of location
                              on P/D relationship
*Impact of location
       on P/D relationship
Telemedicine
                         generally refers
                         to the use of
                         communications
                         and information
                         technologies for
                         the delivery of
                         clinical care




*Impact of technology
on the location of medical practice
*Impact of technology
on the location of medical practice
Aravind Vision Center




            *Impact of technology
              on the location of medical practice
Change is
  not a
  must,
Survival is
 optional



     *Impact of technology
       on the location of medical practice
*Impact of technology
on the location of medical practice
We can                 Wish it never
accept this               be like this




      *Impact of technology
        on the location of medical practice
Thank
 you

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Location of medical practice

  • 1. * LOCATION OF MEDICAL PRACTICE AND P/D RELATIONSHIP Mohamed Nabil Taha
  • 2. *Patient Doctor relationship
  • 3. 1400 BC Gifts for sending doctors to other kings *Historical outlook Ancient Egypt
  • 4. 500 BC “In every house where I come, I will enter for the good of my patients” *Historical outlook Ancient Greek
  • 5. 300 BC Medicine was practiced in a family environment *Historical outlook Ancient Rome
  • 6. 8th  15th centuries “Bimaristans” Providing care on site *Historical outlook Islamic culture
  • 7. 18th century  Bedside Medicine 19th century  hospital medicine Late 19th century  Laboratory medicine *Historical outlook Western culture
  • 9. *Impact of location on P/D relationship
  • 10. On patients’ ground On doctor’s ground *Power with patient and *Colleague approval is the their family dominant factor *Care was related to the *Patient had multiple wishes of the patient encounters with nurses *Doctor’s behavior was but doctors less often influenced by the desire to *Patient care is provided by keep a family’s custom. team rather than single individual *Impact of location on P/D relationship
  • 11. *Now a day, physicians expect their patients to consult them at their practice; with few exceptions, they refuse to make house calls. *Those who are able to get out and about and yet refuse to come to us for their consultation – well let them stay away. *Impact of location on P/D relationship
  • 12. *Impact of location on P/D relationship
  • 13. Telemedicine generally refers to the use of communications and information technologies for the delivery of clinical care *Impact of technology on the location of medical practice
  • 14. *Impact of technology on the location of medical practice
  • 15. Aravind Vision Center *Impact of technology on the location of medical practice
  • 16. Change is not a must, Survival is optional *Impact of technology on the location of medical practice
  • 17. *Impact of technology on the location of medical practice
  • 18. We can Wish it never accept this be like this *Impact of technology on the location of medical practice