You could try:
John P. Bunker, Howard S. Frazier, and Frederick Mosteller
Improving Health: Measuring Effects of Medical Care
Millbank Quarterly, Vol 72 Number 2, 1994
Quoting Jeanne Lenzer <[log in to unmask]>:
> Hi –
>
> I recently attended a lecture by a physician who lectured medical
> students
> about ebm. He pointed out a number of medical practices that are
> unproven
> or questionable value – including psa testing, mammograms, use of
> lipid-lowering agents, etc. Some of the students were clearly provoked
> by
> his lecture: One student asked if the lecturer wouldn’t acknowledge
> that
> the medical technological advances of the past 150 years were
> responsible
> for the increased longevity of U.S. ‘ians.
>
> The physician lecturer only said no, but didn’t really expand…would any
> list
> members be willing to say what they believe are the key factors that
> cause
> the increased longevity of the past 150 years? Certainly sanitation,
> nutrition etc., are up there but do people have any numbers, specific
> disease reduction measurements, public health measures, references that
> I
> could use to evaluate just how substantial (or insubstantial) public
> health
> measures vs., individual medical measures (treatment of heart attacks,
> etc.)
> have been over the past century or so?
>
> If I’m asking something too cumbersome – can anyone steer me to a best
> book/reference that might address this issue?
>
> Thanks,
> Jeanne Lenzer
> Freelance Medical Writer
> 191 Otens Road
> Ellenville, NY 12428
> [log in to unmask]
> Phone/fax: (845) 647-3670 office
> Phone: (845) 647-3691 home
>
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