Korean J Fam Pract 2020; 10(4): 240-247  https://doi.org/10.21215/kjfp.2020.10.4.240
Understanding ‘Family’ for Family-Oriented Medical Care
Jong Sung Kim1,*, Sami Lee1, Joo Sung Park2, Mi Kyeong Oh3
1Department of Family Medicine, Chungnam National University College of Medicine, Daejeon; 2Department of Family Medicine, Dong-A University College of Medicine, Busan; 3Department of Family Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
Jong Sung Kim
Tel: +82-42-280-8172, Fax: +82-42-280-7879
E-mail: josephkim@cnu.ac.kr
ORCID: http://orcid.org/0000-0001-5945-0784
Received: April 17, 2020; Accepted: May 16, 2020; Published online: August 20, 2020.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
The clinical philosophy of family medicine is to provide warm-hearted health care to every human being as opposed to the modern subspecialized care called “inhuman medicine.” One of the strategies to implement this philosophy is comprehensive care. Comprehensive care uses the biopsychosocial model approach to health problems. Comprehensive evaluation and management of biopsychosocial dimensions is unique to family medicine, and it is difficult to achieve through subspecialized care. Family-oriented health care is a specific tool to practice comprehensive care based on the biopsychosocial approach. For family-oriented medical care, the family physician needs to understand “family” from two perspectives: structural and developmental. From the structural perspective, family is a group of small entities called holons. From the developmental perspective, family is an entity that keeps changing and developing through the family life cycle and events. Family-oriented care, in these two contexts, tries to understand and address the communication and behavior patterns of the family members.
Keywords: Family; Family Practice; Comprehensive Health Care; Health Care; Communication
  1. Kim JS. If you are in a bad mood, go for a walk/medical philosophy: contemplation on the Toegyeh and Hippocratic philosophy. Daejeon: Chungnam National University Press; 2018. p. 271.
  2. Gullace G, Catena G, Caretta Q, Dodic S. Hippocrates’ dream. What has Hippocratic revolution left in modern medicine. J Cardiol Cardiovasc Ther 2019; 13: 555857.
  3. Rakel RE. Family physician. In: Rakel RE, Rakel DP, editors. Textbook of family medicine. 9th ed. Philadelphia: Elsevier Saunders; 2016. p. 3-16.
  4. Quote investigator. Tracing quotations [Internet]. Quote investigator; [cited 2020 Mar 13].
  5. Dendy WC. Medical society of London: discussion on homoeopathy. In:Wakley T, editor. The Lancet Volume II. London: John Churchill; 1846. p. 407.
  6. Citizens Commission on Graduate Medical Education. The graduate education of physicians: the report of the Citizens Commission on Graduate Medical Education. Chicago: American Medical Association; 1966.
  7. American Medical Association. Meeting the challenge of family practice:the report of the Ad Hoc Committee on Education for Family Practice of the Council on Medical Education, American Medical Association. Chicago:American Medical Association; 1966.
  8. Kim JS, Kim SS, Jung JG, Yoon SJ. Essentials of family medicine for medical students. Daejeon: Chungnam National University Press; 2010. p. 36-7.
  9. Kim JS, Oh MK, Park JS. Clinical application of family-centered health care. Korean J Fam Med 2009; 30: 405-14.
  10. The art. In: Jones WHS, translator. Hippocrates corpus. Volume II. Cambridge: Harvard University Press; 1923. p. 209-11.
  11. Campbell TL, Seaburn D, McDaniel SH. Family stress and counseling. In:Taylor RB, editor. Family medicine: principles and practice. 6th ed. New York: Springer; 2003. p. 272-8.
  12. Doherty WJ, Baird MA. Family therapy and family medicine: toward the primary care of families. New York: Guilford Press; 1983.
  13. Kitayama S, Park J. Cultural neuroscience of the self: understanding the social grounding of the brain. Soc Cogn Affect Neurosci 2010; 5: 111-29.
    Pubmed KoreaMed CrossRef
  14. Cho GH. Confucianistic background of East Asian collectivism: psychologic approach. Paju: Jisik Sanup Publications Co. Ltd.; 2007.
  15. Kim JS, Kim GJ, Park JS. Phenomenological similarities between Neo-Confucianism and brain sciences on human behavior control and their medical implications: focused on the Toegyeh’s mind theory. Stud Confucian 2017;39: 1-29.
  16. Kim JS. When a doctor meets Toegyeh/medical philosophy: comprehensive view of Korean Neo-Confucianism and modern medicine. 5th ed. Daejeon:Chungnam National University Press; 2017. p. 140.
  17. Munchin S, Fishman HC. Family therapy techniques. Cambridge: Harvard University Press; 1981.
  18. Koestler A. The ghost in the machine. London: Pan Books; 1967.
  19. Korean Bible Society. Leviticus. The holy bible common translation. Gwangju: Work & Play Publications; 1998. p. 178-9.
  20. Leviticus. In: Zinkuratire V, Colacrai A, editors. The African bible: biblical text of the New American bible. 4th ed. Nairobi: Paulines Publications Africa;2005.
  21. Lee BY. Analytical psychology: C.G. Jung’s thoughts on mind. Seoul: Ilchokak;1991.
  22. Kim JS. Fifteen structural and strategic techniques considering family dynamics when interviewing patients with psychosomatic disorders. Korean J Fam Med 1998; 19(Suppl 11): S999-1007.
  23. Toegyeh. Toegyeh collection 15. Seoul: Research Institute for Toegyeh; 2007. p. 293-7.
  24. Flynn CA, Shaughnessy AF, Slawson DC. Information mastery: practical evidence-based family medicine. In: Taylor RB, editor. Family medicine:principles and practice. 6th ed. New York: Springer; 2003. p. 33-40.

This Article