Over past few days, while teaching my students, I realized the paradox (individuals paradox, my name for it) in medical teaching, training and management. While our entire research and training is public health intensive ( population based samples/ population based estimates of risk factors etc) our management is individual specific. for example; On the basis of population based studies, we estimate the mean fall of BP in a population with a specific intervention, and ask our patients to use that intervention, for example brisk walk. Instead why dont we declare a mall road or entire shopping complex, no traffic zone.
Is it the medical companies or our own obsession with practice of individual specific medical practice.
But you have to give the companies some incentive to be involved in such a large scale public health initiative. Perhaps a tax break can be considered.
Best regards,
Debra
Dear Debra,
The details of the exercise can be worked out, but is it only because of business involved that we stop short of using public health initiatives.
Probably because the administrators, politicians and people in general especially in a developing country like ours don't have an inclination to understand community benefits rather than individual benefits of any health initiative.
Thus, their felt need is tilted towards the latter.
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