PREVENTIVE MEDICINE and HEALTH PROMOTION Value of Prevention

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Preventive Medicine & Health Promotion: Fourth Year Elective
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PREVENTION

Value of Prevention

In comparison to treatment of advanced disease, primary and/or
secondary prevention will most likely result in:

*      Less financial burden to the patient

*      Fewer adverse events from invasive screenings and interventions

*      Improved quality of life

*      Fewer hospital visits, hospital admissions and emergency room visits. 

The main benefit of prevention however, is reduction in morbidity and mortality.

The value of prevention can only be enhanced by effective screening, appropriate interventions, patient compliance, and sufficient access to care.

Age- adjusted mortality from stroke has decreased by more than 50% since 1972, a trend attributed in part to earlier detection and treatment of hypertension.  Dramatic reductions in the incidence of invasive cervical cancer and in cervical mortality have occurred following the implementation of screening programs using Papanicolaou testing to detect cervical dysplasia.
 

Guide to Clinical Preventive Services:
Second Edition (1996)

o       Value of Prevention (Overview: Chapter i, pp 25,6* of 93)

o       Cost Effectiveness and Clinical Preventive Services
(section v, pp 85- 90 of 93*)

 

Canadian Guide to Clinical Preventive Health Care

  1. Preventive Guidelines: Their Role in Clinical Prevention and Health Promotion
    (pp 1 – 6  of 6*)
     

  2. Methodologic Report: How to Evaluate Evidence
     

  3. Summary of Maneuvers to be Included in Clinical Preventive Care
     

  4. Summary of Maneuvers that should not be included in Clinical Preventive Care
     

  5. Summary of Recommendations by Strength of the Evidence

The U.S. Preventive Services Task Force (USPSTF) and the Canadian Task Force on the Periodic Health Examination (CTFPHE) has been collaborating in a binational effort to review evidence of clinical effectiveness and provide recommendations on preventive services.

 

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