Article: THE LAST WAVE.

MEDICAL PRACTICE MUST RESPOND TO CULTURAL CHANGE.

Being a doctor ain't what it used to be. Nor is being a patient. As a hospital clinician looking back, I see forty years of practice fall neatly into halves. From 1958 to 1977 was a period of stability during which the dominant status of modern scientific medicine looked unassailable. From 1978 to 1997 has been a time of confusion and much controversy. Underlying these changes were the tectonic forces of an emerging postmodern world. What follows is an attempt to relate the smoke of conflict to the fire of cultural change which has impacted on health over the past twenty years. If we at least understand what is ...

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