Interesting research reported on the BBC reporting the
marked increase in statin prescribing rates in the UK. While some
patients should receive these, some general practitioners will
prescribe statins to people who would benefit from other strategies, such as
those in their mid-30s with no other risk factors for CHD.
This rise could be attributed to the new contract for
GPs which provides renumeration based on meeting quality
indicators, including...statin prescribing rates. Hence, income-based
medicine triumphs over evidence-based medicine with no social determinants or
behavioural recommendations being acknowledged.
************************************************************************'
Dr
Alexander M Clark PhD
BA(Hons) RN
Assistant Professor & Alberta Heritage Population Health
Investigator
4th Floor Clinical Sciences Building
Faculty of
Nursing
University of Alberta
Edmonton, AB.
Canada
T6G
2G3
Tel: (780) 492 8347
Fax: (780) 492
2551
Of interest:
Poverty and Policy in Canada:
Implications for Health and Quality of Life
By Dennis Raphael, Foreword by
Jack Layton
Forthcoming, March 2007
Staying Alive: Critical Perspectives on Health, Illness, and Health Care
General Editors, Dennis Raphael, Toba Bryant, Marcia Rioux, Foreword by Gary
Teeple
http://www.cspi.org/books/s/staying.htm
Social Determinants of Health: Canadian Perspectives
General Editor, Dennis Raphael, Foreword by Hon. Roy J. Romanow, P.C., O.C.,
Q.C.
http://www.cspi.org/books/s/socialdeter.htm
See a lecture! The Politics of Population Health
http://msl.stream.yorku.ca/mediasite/viewer/?peid=ac604170-9ccc-4268-a1af-9a9e04b28e1d
Dennis Raphael, Ph.D.
Professor
and Undergraduate Programme Director
School of Health Policy &
Management
Faculty of Health
York University
4700 Keele St.
Toronto ON M3J 1P3
Ph: 416-736-2100 ext. 22134
Fax: 416-736-5227
E-mail: [log in to unmask]
Website:
http://www.atkinson.yorku.ca/draphael