Luciana Rita Angeletti
Department of Experimental Medicine and Pathology, Section of History of Medicine, University of "La Sapienza", Rome, I
Keywords:
Philosophy of medicine, History of Medicine, Bioetichs , Managed Care
Abstract
History of Medicine has pointed its higher attention on both great physicians and relevant medical schools. The hieratic person of the physician has been pre-eminent and condintioning the relationship between patients and doctor, the latter in a paternalistic dominat position. Changes occurred in medicine during the last century, mainly related to the technological advancements and a new ethiopatogenetic view. Better social conditions, improvement of diagnostic procedures and the discovery of effective therapeutic drugs (e.g. antibiotics, etc.) has produced advancements in general life conditions ( measured by parameters ush as ageing, reduction of newborn mortality etc.), but also an increase in the cost of the social medical system. So, the new frontier of History of Medicine is the analysis of changes occurred in medicine ( new epistemological rules, pressure of new technologies, more sofisticated citizens-patients) to deepen the values of medicine in an anthropological view of managed cure.
