Introduction: The Role of Medicine: Dream, Mirage, or Nemesis? by Thomas McKeown

The dual aims of this book are set forth in its opening paragraph as “(a) to examine the validity of a concept which is rarely stated explicitly but on which medical activities largely rest, namely that human health depends essentially on a mechanistic approach based on understanding of the structure and function of the body and of the disease processes that affect it; and (b) to consider the significance of the conclusions for medicine, particularly in relation to health services, medical education, and medical research.”

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Volume 55, Issue 3 (pages 361–364)
Published in 1977