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Healthy Skepticism Library item: 14740

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Gérvas J, Starfield B, Heath I.
Is clinical prevention better than cure?
Lancet 2008 Dec 6; 372:(9654):1997–99
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2808%2961843-7/fulltext


Abstract:

In wealthy countries, the focus of clinical care is changing from cure to prevention, to anticipate future diseases in currently healthy individuals. We review the challenges that clinicians face, such as: prevention can cause harm; predicting the benefi t of preventive activities for the
individual, as opposed to the group, can be difficult; prevention is not of equal value to everyone; and prevention is beginning to take priority over treatment. Clinicians need to be vigilant to avoid colluding with those who have vested interests in some preventive activities…

jgervasc@meditex.es

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.