As we are in epidemiological transition from communicable to Non - Communicable diseases, mortality and morbidity due to non- communicable is very high. As these diseases and some other are related to risk factors, hence to tackle these problems, new model Biopsychosocial is very much essential, but it is not popular among the most of the clinician. But this is need of hour that we put stress to prevent non- communicable diseases along with the communicable one.
You are right Sir. May be we need to first theorize the Biopsychosocial model. Nancy Krieger gave psychosocial and ecosocial models in her revolutionary papers. Integrating these models with biomedicine at clinical level and proposing a biopsychosocial model will be good approach. I think we need to theorise it first and publish at a wider level, so that clinicians could adopt it.
Yes- you are right! As an epidemiologist, I think it is a good drill to consider biopsychosocial model into clinical practice. So far, my understanding is on why clinicians do not prefer this model onto clinical practice. It may be because they are more straightforward with treatment based on diagnosis, so they don't care so much about other factors.
this is an important issue in the modern materialistic world. we are more concentrating and relying on biomedical model & have not able to achieve the desired results in many disease control programme. we often ignore social determinants of health which are directly or indirectly controlling our psych-social behavior. there are so many example where we controlled diseases like tuberculosis and rheumatic fever in developed world before advent of antibiotics, by improving environmental sanitation and standard of living. in Sweden using same approach the maternal mortality was brought down even there was no such advancement in maternal care.
Yes! Lets take example of Dengue epidemic. Researchers are now focusing on Vaccination for Dengue. After-all how many vaccines could be given to a child. Is there any limit to the lists of vaccination. At the same time we are not addressing environmental issues.
After every miles or less, there are disease spreading garbage dumps in the city. There are swamps of sewage and garbage turning into mosquito breeding sites. There are open drains and filth around slums.
Short-sightedness of policy makers is blaming household coolers for the epidemic.
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