The concept of prevention: a good idea gone astray?
B. Starfield, J. Hyde, J. Gérvas, and I. Heath. Journal of epidemiology and community health, 62 (7):
580-3(July 2008)4600<m:linebreak></m:linebreak>JID: 7909766; ppublish;<m:linebreak></m:linebreak>Polítiques de recerca.
DOI: 10.1136/jech.2007.071027
Abstract
Over time, the definition of prevention has expanded so that its meaning in the context of health services is now unclear. As risk factors are increasingly considered to be the equivalent of "diseases" for purposes of intervention, the concept of prevention has lost all practical meaning. This paper reviews the inconsistencies in its utility, and suggests principles that it should follow in the future: a population orientation with explicit consideration of attributable risk, the setting of priorities based on reduction in illness and avoidance of adverse effects, and the imperative to reduce inequities in health.
%0 Journal Article
%1 Starfield2008
%A Starfield, B
%A Hyde, J
%A Gérvas, J
%A Heath, I
%D 2008
%J Journal of epidemiology and community health
%K AttitudeofHealthPersonnel Epidemiology Female Humans Male PreventiveMedicine PublicHealth RiskFactors TerminologyasTopic
%N 7
%P 580-3
%R 10.1136/jech.2007.071027
%T The concept of prevention: a good idea gone astray?
%U http://www.ncbi.nlm.nih.gov/pubmed/18559439
%V 62
%X Over time, the definition of prevention has expanded so that its meaning in the context of health services is now unclear. As risk factors are increasingly considered to be the equivalent of "diseases" for purposes of intervention, the concept of prevention has lost all practical meaning. This paper reviews the inconsistencies in its utility, and suggests principles that it should follow in the future: a population orientation with explicit consideration of attributable risk, the setting of priorities based on reduction in illness and avoidance of adverse effects, and the imperative to reduce inequities in health.
%@ 1470-2738
@article{Starfield2008,
abstract = {Over time, the definition of prevention has expanded so that its meaning in the context of health services is now unclear. As risk factors are increasingly considered to be the equivalent of "diseases" for purposes of intervention, the concept of prevention has lost all practical meaning. This paper reviews the inconsistencies in its utility, and suggests principles that it should follow in the future: a population orientation with explicit consideration of attributable risk, the setting of priorities based on reduction in illness and avoidance of adverse effects, and the imperative to reduce inequities in health.},
added-at = {2023-02-03T11:44:35.000+0100},
author = {Starfield, B and Hyde, J and Gérvas, J and Heath, I},
biburl = {https://www.bibsonomy.org/bibtex/26ee5fecb50fa5444664334035d00ffb8/jepcastel},
city = {Johns Hopkins University, Baltimore, MD 21205-1990, USA. bstarfie@jhsph.edu},
doi = {10.1136/jech.2007.071027},
interhash = {4e85c41ddcc920899fa871e031a87bdb},
intrahash = {6ee5fecb50fa5444664334035d00ffb8},
isbn = {1470-2738},
issn = {1470-2738},
journal = {Journal of epidemiology and community health},
keywords = {AttitudeofHealthPersonnel Epidemiology Female Humans Male PreventiveMedicine PublicHealth RiskFactors TerminologyasTopic},
month = {7},
note = {4600<m:linebreak></m:linebreak>JID: 7909766; ppublish;<m:linebreak></m:linebreak>Polítiques de recerca},
number = 7,
pages = {580-3},
pmid = {18559439},
timestamp = {2023-02-03T11:44:35.000+0100},
title = {The concept of prevention: a good idea gone astray?},
url = {http://www.ncbi.nlm.nih.gov/pubmed/18559439},
volume = 62,
year = 2008
}