ISBN : 9780198725862
Preventive medical interventions and non-medicalised public health programmes that promise health benefits in the future, from actions taken now, carry a strong ethical requirement of 'first, do no harm' or primum non nocere. New preventive advice and interventions are being promoted on a daily basis, Disease Prevention: A Critical Toolkit provides a set of appraisal tools to guide those considering a preventive action to make sure that it is effective (does more good than harm), efficient (is a competitive use of scarce resources), and equitable in its impact across society. Case studies and worked examples illustrate the risks and benefits of specific preventive interventions. Divided into 10 chapters this practical and concise book focuses on multiple aspects of prevention including the hierarchy of preventive options; the assessment of causation; finding and appraising scientific evidence; prevention directed at entire populations (as opposed to individuals); measuring chronic disease risk factors and medically managing them: statin treatment of high cholesterol; PSA screening for prostate cancer; genetic screening for future disease risk; and assessing the health equity implications of prevention. Aimed at front-line public health and primary care professionals, Disease Prevention: A Critical Toolkit will equip them with the up-to-date skills necessary to help them better inform and serve their patients and communities.
1 Introduction: Why we wrote this book
2 Basic principles of successful and unsuccessful prevention
3 A brief history of prevention . . . and causation
4 Seeing the forest for the trees finding and using the evidence
5 Causation and prevention in populations versus individuals
6 How simple advice can sometimes be wrong the case of healthy diets
7 Preventing chronic diseases by risk factor detection and treatment: what every health care consumer needs to know
8 Detecting disease before symptoms begin: the blemished promise of cancer screening
9 Genetic testing for disease prevention: oversold?
10 When can prevention expect to also reduce social inequalities in health?
Appendix 1 Preventive Actions: Decision Support Tool
Appendix 2 Useful Resources for a Critical Appraisal Tool Kit Applied to Disease Prevention
Appendix 3 Suggested Answers for Quiz Questions at End of Chapters