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What role for primary health care in modern health service provision? Seminar of Innovation in Primary Care. Oxford (UK), 29nd September 2012

20 Sep

Rethinking the health service production function: What role for primary health care in modern health service provision? Seminar of Innovation in Primary Care. Oxford (UK), 29nd September 2012 Organized by Juan Gérvas MD, PhD (general practitioner, Equipo CESCA, Madrid, Spain; visiting professor, International Health, National School of Public Health, Madrid) and José M. Valderas MD, [...]

How to build a strong Primary Care in Brasil?

18 Aug

Brazil, with almost 200 millions inhabitants, has a public primary health system that covers 60% of the population. Health centers are public, with professionals working as public employees, and organized in health teams (one per 4.000 inhabitans, with a family physician, a nurse, an auxiliar and six agents of communiyt health). The Strategy of Family [...]

Primary Care Innovation Seminars: An experience in dissemination of knowledge on network

26 May

Seminars of Innovation in Primary Care started in 2005 and they are still on in 2011. This text explains how the Seminars are organized, the methodology and how they finish with formal publications. Key points are the on-line debate before and after the face-to-face workshop, the themes selected, the difussion of practical and theoretical questions [...]

Iodine supplements to pregnant women

10 Apr

Iodine supplements during pregnancy could be a dangerous practice in places with normal and medium level de iodine food content. Spanish data show that iodine supplements are associate with problems of the thyroid gland (in the female) and problems in the psychological-motor development of the offspring (girls). Iodine supplements to pregnant women. Gérvas J. Marzo [...]

Flu H2N2, mortality and vaccination

10 Apr

Flu H2N2 is presented as a terrible epidemic in the XX century, with one and half million deads from 1957 to 1968. But this data only give an impression of severity as we can expect around five millions with a “normal” seasonal flu in this period of time. Flu H2N2, mortality and vaccination. Gérvas J. [...]

Can we resist disease mongering campaigns? Yes, we can

5 Oct

Swine flu was managed is such a way by World Health Organization and national authorities that created panic. At the end of the epidemic WHO and national authorities did not do an analytical exercise to examinate their errors. So they were not errors but a world campaign of “disease mongering”. The Spanish case of the [...]

Why become a doctor if there’s Internet? Open letter to a first year medical student

15 Sep

In the Internet era being a human and scientific physician is even a more important question than previously. In this open letter to a student of first year the author review the foundation of physicians’ work and promote a style of a professional who loves their duties. Why become a doctor if there’s Internet? Open [...]