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Successes of prevention.

J E Fielding

    The Milbank Memorial Fund Quarterly. Health and Society
    |January 1, 1978
    PubMed
    Summary

    Preventive medical measures face skepticism due to unmet expectations. Examining what is prevented and by whom is crucial for developing new strategies and addressing future challenges in healthcare.

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    Area of Science:

    • Medical Science
    • Public Health Policy

    Background:

    • Preventive medicine has historically been viewed optimistically.
    • Recent trends indicate growing skepticism regarding the efficacy and outcomes of preventive healthcare measures.

    Purpose of the Study:

    • To analyze the reasons behind the declining optimism in preventive medicine.
    • To explore the implications of 'what is prevented' and 'by whom' for future strategies.
    • To identify emerging challenges in the field of preventive healthcare.

    Main Methods:

    • Conceptual analysis of preventive medicine's definition and scope.
    • Examination of the beneficiaries and outcomes of preventive interventions.
    • Review of historical and contemporary perspectives on preventive healthcare.

    Main Results:

    • The gap between expectations and outcomes in preventive medicine is significant.
    • A deeper understanding of the specific conditions prevented and the populations targeted is needed.
    • Current approaches may require re-evaluation based on effectiveness and equity.

    Conclusions:

    • Revisiting the definitions and scope of preventive medicine is essential.
    • New professional and political strategies are necessary to address current limitations.
    • Anticipating and managing new ethical and practical dilemmas is critical for the future of preventive healthcare.

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