Introduction to Preventive Medicine CHAPTER OUTLINE I. BASIC CONCEPTS 1. BASIC CONCEPTS 173 A. Health Defined 173 Western medical education and practice have traditionally B. Health as Successful Adaptation 173 ocused on the diagnosis and treatment of disease. Diagnos- C. Health as Satisfactory Functioning 174 ing and t ting disease will always be important, but equal . MEASURES OF HEALTH STATUS 174 importance should be placed on the preservation and enhancement of health. Although specialists undertake III. NATURAL HISTORY OF DISEASE 175 research, teaching, and clinical practice in the field of preven- IV. LEVELS OF PREVENTION 175 tive medicine, prevention is exclusive province A. Primary Prevention and Predisease Stage 175 of preventive medicine speci care of elderly 1. Health Promotion 176 persons is not limited to geriatricians. All clinicians should 2. Specific Protection 176 incorporate prevention into their practice B. Secondary Prevention and Latent Disease 176 C. Tertiary Prevention and Symptomatic Disease 176 A. Health Defined . Disability Limitation 176 2. Rehabilita ation I77 Health is more difficult to define erhaps the V. ECONOMICS OF PREVENTION 177 best known definition preamble to A. Demonstration of Benefits I77 the constitution of the B. Delay of Benefits 177 is a state of complete C. Accrual of Benefits I77 and not merely the D. Discounting 178 definition is strengt E.Priorities 178 ful concept of healt life, and that a d VI. PREVENTIVE MEDICINE TRAINING I7S VII. SUMMARY 179 REVIEW QUESTIONS, ANSWERS, AND EXPLANATIONS s con I and 2 of this text focus on ep ively to viron- ng level of demand 173