Toward a social policy for health

Article Abstract:

A system that separates the social and medical aspects of health care would be more efficient and more cost-effective than the one currently in place. A new system would also allow doctors to return to treating diseases rather than trying to treat and prevent social problems. Health care reform is mistakenly focusing on the prevention and treatment of social ills. Health care is not synonymous with medical care. The former emphasizes prevention of disease and takes into account social factors such as income, housing, education and sanitation. Medical care is part of health care, but is oriented toward the treatment of diseases. The development of a social policy to promote health may initially meet some resistance because the goal of a healthier society may take longer to accomplish than simply guaranteeing access to medical care. The establishment of a federally funded National Institute of Social Health would help clarify the links between socioeconomic factors and health.

Social aspects, Column, Health care reform

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Predominance of the curative model of medical care: a residual problem

Article Abstract:

Many of the problems in medical education are caused by the emphasis on the curative model of medical care. This model assumes that most diseases can be cured and it is these patients that doctors focus on. This model considers death a failure and studies have shown that most doctors do not receive adequate training in terminal care. The palliative model of care does not consider cure a goal and also tends to treat patients holistically. In reality, physicians can use approaches between these two extremes and tailor the approach to the individual patient. This will require a radical change in medical education, since the curative model is now emphasized.

Medicine, Terminal care, Palliative treatment, Palliative care, Beliefs, opinions and attitudes

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Toward fewer cesarean sections - the role of a trial of labor(Editorial)

Article Abstract:

A trial of labor in women who have had a prior cesarean could help reduce the rate of cesarean sections. One-fourth of all deliveries are made by cesarean and many physicians would like to reduce that rate to 15% by the year 2000. One-third of all cesareans are done simply because the woman has had a previous cesarean. However, a 1996 study found that many of these women could deliver vaginally with few complications. A first cesarean is usually done because the woman has a difficult labor. This rate could be reduced by teaching physicians how to manage prolonged labor.

Research, Vaginal birth after cesarean, Labor, Induced (Obstetrics), Induced labor

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