24 Mar
Prevention without limits creates monsters. Prevention has week foundations, as diagnostic methods with no scientific base. Good example are the problems with the interpretation of mammography in the screening of breast cancer and with the diagnosis of melanoma. Screening for serious illness. Limits to the power of medicine. Gérvas, J. European Journal of General Practice, [...]
2 Mar
New health challenges because social, technical and epidemiological changes need new types of medicalinterventions. Old-style prevention is not more justifiedthan old-style treatment. More money spent on preventivecare for the rich people, who are in a better position todemand it, takes time away from the poor people, whohave greater needs for their health problems. We propose [...]
2 Mar
Capitation is the way of payment for general practitioners-family physicians in countries where primary care is strong, as Denmark, Holland, Spain, New Zealand, Spain and the UK. Capitation implies the existence of patients’ list and fair distribution of general practitioners over the country. Supply and distribution of family physicians. Gérvas, J. Canadian Family Physician/ Le [...]
2 Mar
Over time, the definition of prevention has expanded so that its meaning in the context of health services is now unclear. As risk factors are increasingly considered to be the equivalent of ‘‘diseases’’ for purposes of intervention, the concept of pr evention has lost all practical meaning. This paper reviews the inconsistencies in its utility, [...]
21 Jan
We consider countries in Europe with best primary care, as Denmark, Holland, Spain and the UK. There are some common background as having strong associations of general practitioners that help in improving practice. Western European best practice in primary healthcare. Gérvas J, Pérez Fernández M. Eur Gen Pract 2006; 12: 30-3. Download article here.
