.2024 Apr 12;12(Suppl 3):e002789.

doi: 10.1136/fmch-2024-002789.

Storylines of family medicine II: foundational building blocks-context, community and health

William B Ventres¹, Leslie A Stone², Rupal Shah³, Tamala Carter⁴, Geoffrey M Gusoff⁵, Winston Liaw⁶, Bich-May Nguyen⁶, Joanna V Rachelson⁷, Mary Alice Scott^{8 9}, Teresa L Schiff-Elfalan¹⁰, Seiji Yamada¹⁰, Robert C Like¹¹, Kathleen Zoppi¹², A Peter Catinella¹³, Richard M Frankel¹⁴, Shailendra Prasad¹⁵

Affiliations

¹ Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA wventres@uams.edu.
² Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA.
³ Bridge Lane Group Practice, London, UK.
⁴ Penn Center for Community Health Workers, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
⁵ National Clinician Scholars Program, UCLA David Geffen School of Medicine, Los Angeles, California, USA.
⁶ Health Systems and Population Health Sciences, University of Houston Tilman J Fertitta Family College of Medicine, Houston, Texas, USA.
⁷ Southern New Mexico Family Medicine Residency Program, Las Cruces, New Mexico, USA.
⁸ New Mexico Primary Care Training Program, Silver City, New Mexico, USA.
⁹ Anthropology, New Mexico State University, Las Cruces, New Mexico, USA.
¹⁰ Family Medicine and Community Health, University of Hawai'i at Manoa John A Burns School of Medicine, Honolulu, Hawaii, USA.
¹¹ Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
¹² Family Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
¹³ Family Medicine - Transmountain, Texas Tech University Health Sciences Center, El Paso, Texas, USA.
¹⁴ Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
¹⁵ Family Medicine and Community Health, University of Minnesota Medical School - Twin Cities Campus, Minneapolis, Minnesota, USA.

PMID:38609084
PMCID: PMC11029393
DOI: 10.1136/fmch-2024-002789

Storylines of family medicine II: foundational building blocks-context, community and health

William B Ventres et al. Fam Med Community Health.2024.

.2024 Apr 12;12(Suppl 3):e002789.

doi: 10.1136/fmch-2024-002789.

Authors

Affiliations

¹ Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA wventres@uams.edu.
² Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA.
³ Bridge Lane Group Practice, London, UK.
⁴ Penn Center for Community Health Workers, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
⁵ National Clinician Scholars Program, UCLA David Geffen School of Medicine, Los Angeles, California, USA.
⁶ Health Systems and Population Health Sciences, University of Houston Tilman J Fertitta Family College of Medicine, Houston, Texas, USA.
⁷ Southern New Mexico Family Medicine Residency Program, Las Cruces, New Mexico, USA.
⁸ New Mexico Primary Care Training Program, Silver City, New Mexico, USA.
⁹ Anthropology, New Mexico State University, Las Cruces, New Mexico, USA.
¹⁰ Family Medicine and Community Health, University of Hawai'i at Manoa John A Burns School of Medicine, Honolulu, Hawaii, USA.
¹¹ Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
¹² Family Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
¹³ Family Medicine - Transmountain, Texas Tech University Health Sciences Center, El Paso, Texas, USA.
¹⁴ Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
¹⁵ Family Medicine and Community Health, University of Minnesota Medical School - Twin Cities Campus, Minneapolis, Minnesota, USA.

PMID:38609084
PMCID: PMC11029393
DOI: 10.1136/fmch-2024-002789

Abstract

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'II: foundational building blocks-context, community and health', authors address the following themes: 'Context-grounding family medicine in time, place and being', 'Recentring community', 'Community-oriented primary care', 'Embeddedness in practice', 'The meaning of health', 'Disease, illness and sickness-core concepts', 'The biopsychosocial model', 'The biopsychosocial approach' and 'Family medicine as social medicine.' May readers grasp new implications for medical education and practice in these essays.

Keywords: Community Medicine; Family Medicine; Family Therapy; Health; Social Determinants of Health.

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Conflict of interest statement

Competing interests: None declared.

Figures

**Figure 1**
Context: locating, understanding, being, caring.

**Figure 2**
Conceptualising community-centric practice. *Community collaborators: community organisers, leaders and organisations **Interdisciplinary care teams: physicians, nurses, social workers, care managers, community health workers and others.

**Figure 3**
Clinic structure: moving towards community presence and involvement. Adapted with permission.

**Figure 4**
Embeddedness in place and time: Las Cruces, New Mexico, USA. Reproduced with permission.

**Figure 5**
Health: an ancestral view this graphic—a Hawaiian petroglyph of four people linking arms—reminds us that ‘health’ is informed as much by ancestral knowledge as by modern medicine. Reproduced with permission.

**Figure 6**
Disease versus illness versus sickness.

**Figure 8**
The biopsychosocial approach.

**Figure 9**
Family Medicine … social medicine.

See this image and copyright information in PMC

References

1. Context. Cambridge dictionary. Available:https://dictionary.cambridge.org/dictionary/english/context [Accessed 31 Jan 2024].
1. Braveman P, Gottlieb L. The social determinants of health: it’s time to consider the causes of the causes. Public Health Rep 2014;129:19–31. 10.1177/00333549141291S206 - DOI - PMC - PubMed
1. McCartney G, Hearty W, Arnot J, et al. . Impact of political economy on population health: a systematic review of reviews. Am J Public Health 2019;109:e1–12. 10.2105/AJPH.2019.305001 - DOI - PMC - PubMed
1. McGarvey D. Poverty Safari: Understanding the Anger of Britain’s Underclass. Picador, 2017.
1. Shah R, Foell J. Fighting for the Soul of General Practice: The Algorithm Will See You Now. Intellect, 2024.

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Storylines of family medicine II: foundational building blocks-context, community and health

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Storylines of family medicine II: foundational building blocks-context, community and health

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Conflict of interest statement

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