Résumé :
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[BDSP. Notice produite par INIST 78t8R0xv. Diffusion soumise à autorisation]. Throughout the course of the 20th century, many observers have noted important tensions and antipathies between public health and medicine, At the same time, reformers have often called for better engagement and collaboration between the 2 fields. This article examines the history of the relationship between medicine and public health to examine how they developed as separate and often conflicting professions. The historical character of this relationship can be understood only in the context of institutional developments in professional education, the rise of the biomedical model of disease, and the epidemiologic transition of the predominance of systemic chronic diseases. Many problems in the contemporary burden of disease pose opportunities for effective collaborations between population-based and clinical intervetions. A stronger alliance between public health and medicine through accomodation to a reductionist biomedicine, however, threatens to subvert public health's historical commitment to understanding and addressing the social roots of disease.
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