Prevention into the 21st century.
Prevention in the United States has suffered because of the use of a traditional "medical" model rather than a "health" model. Financing, medical education, and research support have favored a focus on disease rather than prevention, although the greatest gains in man's physical well-being have come from preventive rather than curative activities. Although prevention has not been a major focus within medicine to date, despite its significant contributions, it appears that major changes will take place in the twenty-first century that will markedly change this situation. Mount Sinai, because of its meaningful role in studying the health of groups and in health service delivery, and its founding as a medical school with a focus on populations, has made, and will make, contributions to preventive activities in the future.
Frank
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Office of Medical Education, University of Texas Health Center at Tyler 75710, USA.
D003695:Delivery of Health Care / Q000458:organization & administration; D004501:Education, Medical / Q000458:organization & administration; D049672:History, 19th Century; D049673:History, 20th Century; D006784:Hospitals, Teaching / Q000266:history; D009519:New York City; D011315:Preventive Medicine / Q000266:history / Q000458:organization & administration / Q000639:trends*; D011634:Public Health / Q000639:trends; D014481:United States