equipocesca

Note about the Spanish movement asking for calm and common sense regarding the A flu. Spain and swine flu. Gérvas, J, Villanueva, T. CMJA. 15 de septiembre de 2009 [letter]. Go to the letter.

The severity of swine flu is generally very low but WHO (World Health Organization) papers and policy transmit the idea of: a/ swine flu is a terrible and dangerous disease, and b/ prevention and treatment of flu swine is justifiable, necessary and urgent. It looks like a “disease mongering” campaign by WHO. Disease mongering by [...]

Prevention might be seen as a simple activity. Prevention in some way might compensate the clinical duties of the general practitioner. But dealing with uncertainty is a question which also affects to prevention. Prevention should be part of the encounters in General Practice but only as a complement to clinical activities. Prevention is not central [...]

Many doctors allowed themselves to be exposed to drug promotion. These doctors may have become infected with bias without knowing it. These bias could determine actions that decrease patient and population health. In this paper we review the evidence about how to overcome the industrial influence. Physicians, the industry, and population health. Gérvas, J., Mansfield, [...]

The cerivastatin fatal rhabdomyolysis affair should be use as an example to stimulate reconsideration of the whole process of drug approval, marketing and use, as occurred after thalidomide was found to cause adverse effects to the foetus. It is not just a safety issue. Cerivastatin and fatal rhabdomyolysis: not just a safety issue. Gérvas, J., [...]

In daily practice is not easy to measure health status. COOP charts allows it. In this study COOP chart are used in Canada, Japon, Nepal and Spain. A multinational study of the factorial structure and other characteristics or the Dartmouth COOP Functional Health Assessment Charts/WONCA. Westbury R.C., et al. Fam Pract. 1997; 14: 478-85. Download [...]

Gatekeeping is a common role in Europe for general practitioners. Usually, gatekeeping is associate to patient list. Being a filter allow GP to avoid for their patients unnecessary contact with specialists. In this way it saves money and could no decrease patient satisfaction. Primary Care, Financing and Gatekeeping in Western Europe. Gérvas, J., Pérez Fernández, [...]