Health promotion in general practiceBMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6932.852a (Published 26 March 1994) Cite this as: BMJ 1994;308:852
- John Robson,
- K Boomla,
- A Livingstone
- Healthy Eastenders Project, Queen Mary and Westfield College, London E1.
Doctors have a duty to the whole community
Editor,--The Oxcheck Researchers and the Family Heart Study Group doubt whether multifactorial risk ascertainment and counselling of whole populations are worth the effort.1 2 What, however, did they expect from a population approach? Optimistically these studies might lead to a reduction in mortality from ischaemic heart disease of 4-8%. This compares with an annual fall in mortality from this cause currently around 7%. Sustaining change with margins of 1-2% is made easier by realistic expectations. The lower than average risk in the study populations makes …