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Harrison's Principles of Internal Medicine, 18e
| Part 1. Introduction to Clinical Medicine > |
Chapter 2. Global Issues in Medicine
Sections: Why Global Health?, Brief History of Global Health Institutions, The Economics of Global Health, Mortality and the Global Burden of Disease, Health Systems and the Brain Drain, Conclusion: Toward a Science of Implementation, Further Readings.
Topics Discussed: world health.
Excerpt:"Global health, it has been noted, is not a discipline; it is, rather, a collection of problems. A leading group of scholars have defined global health as the study and practice concerned with improving the health of all people and achieving health equity worldwide, with an emphasis on addressing problems that are transnational. No single review can do much more than identify the leading problems in applying evidence-based medicine in settings of great poverty or across national boundaries. This chapter introduces the major international bodies that address these problems; identifies the more significant barriers to improving the health of people who to date have not, by and large, had access to modern medicines; and summarizes population-based data on the most common health problems faced by people living in poverty. Examining specific problems—notably AIDS (Chap. 189) but also tuberculosis (TB, Chap. 165), malaria (Chap. 210), and key noncommunicable diseases—helps sharpen the discussion of barriers to prevention, diagnosis, and care as well as the means of overcoming them. The chapter then discusses the role of health systems and the problem of "brain drain" on those systems. It closes by discussing global health equity, drawing on notions of social justice that once were..."
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