Stokes, J.; Noren, J.; Shindell, S. (). „Definition of terms and concepts applicable to clinical preventive medicine”. Journal of Community Health. 8 (1): 33–41. doi:10.1007/bf01324395. ISSN0094-5145. PMID6764783.
Huseyin Naci; John P. A. Ioannidis (). „Evaluation of Wellness Determinants and Interventions by Citizen Scientists”. JAMA. 314 (2): 121–2. doi:10.1001/jama.2015.6160. PMID26068643.
economist.com
Beneath the interminable squabbles over Barack Obama’s health law, a transformation is taking place. To date most doctors have been rewarded for providing more rather than better services. This is unsustainable. Health care gobbles nearly 18% of GDP. The Economist, Sep 8th 2012, http://www.economist.com/node/21562251
nejm.org
The organizational structure and function of our medical system is rooted in fundamental changes made at the beginning of the 20th century that emphasized an acute care approach and marginalized prevention and public health. Breakthroughs in laboratory sciences led by Koch and Pasteur provided powerful tools for mechanistically understanding and treating infectious diseases. Bolstered by philanthropy and the Flexner report, U.S. medicine became reliant on laboratory research.4 This strategy made sense 100 years ago, given the prominence of acute infectious diseases in a young population; it makes little sense now. - From Sick Care to Health Care -Reengineering Prevention into the U.S. System, Farshad Fani Marvasti, M.D., M.P.H., and Randall S. Stafford, M.D., Ph.D., N Engl J Med 2012; 367:889-8916 septembrie 2012. http://www.nejm.org/doi/full/10.1056/NEJMp1206230
With the aging of the population, the shift in the burden of disease toward chronic conditions has accelerated. The most prevalent preventable causes of death are now obesity and smoking, which result in delayed but progressive disease.5 Even in the developing world, increases in the prevalence of chronic disease are outstripping reductions in acute infectious diseases.1 Such epidemiologic evolution demands a focus on public health and prevention. - -Reengineering Prevention into the U.S. System, Farshad Fani Marvasti, M.D., M.P.H., and Randall S. Stafford, M.D., Ph.D., N Engl J Med 2012; 367:889-8916 septembrie 2012. http://www.nejm.org/doi/full/10.1056/NEJMp1206230
Although the United States pays more for medical care than any other country, problems abound in our health care system. Unsustainable costs, poor outcomes, frequent medical errors, poor patient satisfaction, and worsening health disparities all point to a need for transformative change.1 Simultaneously, we face widening epidemics of obesity and chronic disease. Cardiovascular disease, cancer, and diabetes now cause 70% of U.S. deaths and account for nearly 75% of health care expenditures.2 Unfortunately, many modifiable risk factors for chronic diseases are not being addressed adequately. A prevention model, focused on forestalling the development of disease before symptoms or life-threatening events occur, is the best solution to the current crisis. - From Sick Care to Health Care -Reengineering Prevention into the U.S. System, Farshad Fani Marvasti, M.D., M.P.H., and Randall S. Stafford, M.D., Ph.D., N Engl J Med 2012; 367:889-8916 septembrie 2012. http://www.nejm.org/doi/full/10.1056/NEJMp1206230
With the aging of the population, the shift in the burden of disease toward chronic conditions has accelerated. The most prevalent preventable causes of death are now obesity and smoking, which result in delayed but progressive disease. Even in the developing world, increases in the prevalence of chronic disease are outstripping reductions in acute infectious diseases.1 Such epidemiologic evolution demands a focus on public health and prevention. - From Sick Care to Health Care -Reengineering Prevention into the U.S. System, Farshad Fani Marvasti, M.D., M.P.H., and Randall S. Stafford, M.D., Ph.D., N Engl J Med 2012; 367:889-8916 septembrie 2012. http://www.nejm.org/doi/full/10.1056/NEJMp1206230
Moreover, our reliance on ever newer, more advanced technology has perpetuated an expensive system in which costly new technology is widely adopted in the absence of comparative advantage. When combined with economic incentives for patenting devices and drugs, these technological factors become self-reinforcing. Although many preventive strategies may be cost-effective, they unfortunately have limited potential for wide adoption because they cannot be patented or made profitable. Therefore, the primacy of patentable therapies impedes research on prevention and diffusion of prevention approaches that could cost-effectively address the burden of chronic disease. - From Sick Care to Health Care -Reengineering Prevention into the U.S. System, Farshad Fani Marvasti, M.D., M.P.H., and Randall S. Stafford, M.D., Ph.D., N Engl J Med 2012; 367:889-8916 septembrie 2012. http://www.nejm.org/doi/full/10.1056/NEJMp1206230
nih.gov
ncbi.nlm.nih.gov
Stokes, J.; Noren, J.; Shindell, S. (). „Definition of terms and concepts applicable to clinical preventive medicine”. Journal of Community Health. 8 (1): 33–41. doi:10.1007/bf01324395. ISSN0094-5145. PMID6764783.
Huseyin Naci; John P. A. Ioannidis (). „Evaluation of Wellness Determinants and Interventions by Citizen Scientists”. JAMA. 314 (2): 121–2. doi:10.1001/jama.2015.6160. PMID26068643.
Un articol recent din Science, arăta că copiii care cresc în sărăcie au o dezvoltare a creierului diferită de copiii crescuți în condiții prielnice. Efectele statutului social al părinților copiilor apar la nivelul limbajului, capacității de învățare și atenției. Autorii studiului aflat la baza articolului, consideră că rezultatele ridică importante întrebări în legătură cu educația, sănătatea, justiția în curțile pentru minori și politicile de protecție socială. - Poverty Can Harm Early Brain Development, Researchers Say - http://www.sciencemag.org/content/337/6093/428.full.pdf
Stokes, J.; Noren, J.; Shindell, S. (). „Definition of terms and concepts applicable to clinical preventive medicine”. Journal of Community Health. 8 (1): 33–41. doi:10.1007/bf01324395. ISSN0094-5145. PMID6764783.
