rethinking the role of medicine stephen r leeder the menzies centre for health policy the university...
Post on 22-Dec-2015
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Rethinking the Role of Medicine
Stephen R Leeder
The Menzies Centre for Health Policy
The University of Sydney
Doctoring
The foundational ethic: to relieve suffering and to save life (Faunce)
Lots of professionals can do bits of doctoring The workforce crisis: it’s time to sort out who
does what bits of doctoring (Gorman).
Medicine
Hi-tech enterprise, market-driven Most advances depend on people other than
medical doctors Expensive.
Public Health and Prevention
Two courses of action – addressing individuals or addressing the population
The features of population-based approaches “What is the cause of lung cancer in a population
where everyone smokes?” Individual versus population-based susceptibility Both hi-risk individual and population-based
approaches are needed to achieve health gain.
The Future
The rise and rise of hi-tech medicine The question of equity The gains, and losses of exponential growth
in productivity.