Joe Paduda over at Managed Care Matters has done a yeoman's job compiling the latest Health Wonk Review. I hesitate to quibble with his characterization of my entry, knowing the amount of work that goes into the Review, but I did want to say something further about prevention. Paduda writes:
Daniel Goldberg's contribution provides much-needed perspective on one main component of health reform - the claims for and potential benefits of 'prevention'. It may not be all its cracked up to be.
The point I was trying to articulate is that a certain conception of prevention, one based on a social, public health model, is desperately needed if improving population health is the objective. It is all that it is cracked up to be, and then some. The concept of prevention resembling more closely an acute care, medical model, may be important for population health in its own right, but in my opinion is not based on evidence as compelling as the SDOH evidence base supporting the public health conception of prevention.
Thoughts?
I wondered about that, too, but chalked it up to his perhaps not having had time to read your post thoroughly enough to grasp the underlying premise.
At least your post was included. I wrote a links fest post asking why nursing still isn't included in health policy discussions, and by exclusion, he rather made my point for me except that no one will ever know. ;)
Posted by: Annie | October 16, 2008 at 01:16 PM
Well, it may not have been as clear as I had hoped in the initial post, and HWR is such an enormous amount of work.
Your question (nursing & health policy) is a good one. If you send me the post, I'll be happy to put it up here, if you wish . . .
Posted by: Daniel S. Goldberg | October 16, 2008 at 01:19 PM
Thanks, Daniel. The link is at my name, and it's quite the rant and rave (that would make a good roller coaster name).
Posted by: Annie | October 16, 2008 at 01:56 PM
Thanks! I'll get a post and a link up in the near future.
Posted by: Daniel S. Goldberg | October 16, 2008 at 02:17 PM