On medical knowledge

It would make sense for publicly funded medical schools to promote the optimization of the impact of clinical work on public and community health, on the epidemiology and biopsychosocial health of communities.

Similarly, it would be logical for schools of public health financed with these same funds to promote a clinical approach in the implementation of disease control programs in healthcare services.

Here are some epistemological principles for the subsequent knowledge integration - the integration of clinical medicine, public health and community medicine. . 


Unger, JP., Morales, I., De Paepe, P. et al. Integrating clinical and public health knowledge in support of joint medical practice. BMC Health Serv Res 20, 1073 (2020).



The biopsychosocial model of care involves the caregiver's ability to adapt the medical treatment to the patient's psychosocial conditions, but also to provide psychosocial support. As far as the psychological component is concerned, the principles of family therapy are undoubtedly those that are most suited to the practice of medicine. As for the social component of this support, it benefits from a certain degree of standardization in the institutional orientations offered to the patient.


 On family therapy in general practice in LMICs settings, read


Quinet A et al. Family Therapy in Developing Countries Primary Care. J Fam Med Dis Prev 2015;1:006



On social assistance in medical practice (in Belgium), read


Unger JP, Shelmerdine S, van der Veer C, & Roland M (2016) How can GPs Best Handle Social Determinants in Practice? Application in the Brussels Environment. J Fam Med Dis Prev. 2016 ;2:025 ;2, 1



Finally, a methodology to help doctors and public health programs designing their own disease control programs in LMICs medical practice


Unger J.-P., Criel B., Mercenier P. The Vertical Approach - A methodology for the identification of priorities for action and research  in disease control programs. Studies in Health Service Organization and Policy 1998; 8: 17-43.