ABSTRACT
This chapter presents an explanation of how a multi-environment in one specialist field arises. It shows that the historical links and the way interactions between multiple environments and various contexts evolve. Organisational differences may reflect natural environmental factors or relate to the density of population and to transport facilities for seeking medical care. In the medical field there has been for many years and at differing levels of practice, a relationship between the medical environment of such areas of practice and the function of the knowledge base of the doctor or doctors collectively in the provision of medical care. The climatic and geographical conditions of much of the land masses of the globe materially provide for a complex series of differing physical environments. The variations in political systems as well as the allocation of resources and the differing pathways chosen for development, all vary the health care environment.
