Blackburn H
Postgrad Med J. 1976 Jul;52(609):417-23. doi: 10.1136/pgmj.52.609.417.
Congruent evidence from several medical disciplines provides compelling argument for a preventive approach to atherosclerotic diseases. Intervention trials and community health education programmes are under way. Reasonable, safe and practical approaches are available for hygienic interventions within the medical system. But major impediments to medical and community researches and action in prevention include professional controversy and public confusion about risk factors and their management. It is suggested here that most of this controversy and confusion is unnecessary and much of it due to professional attitudes and experience. These attitudes appear to result from failure to distinguish adequately the risk, diagnosis and therapeutic decisions appropriate to a culture, in the population-at-large.
来自多个医学学科的一致证据为动脉粥样硬化疾病的预防方法提供了有力论据。干预试验和社区健康教育项目正在进行中。在医疗系统内，有合理、安全且实用的卫生干预方法。但医学和社区预防研究及行动的主要障碍包括专业争议以及公众对风险因素及其管理的困惑。本文认为，这些争议和困惑大多是不必要的，其中很多是由专业态度和经验导致的。这些态度似乎源于未能充分区分适合广大人群中某种文化的风险、诊断和治疗决策。
