Academic medicine as a resource for global health: the case of Brazil

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7469.753 (Published 30 September 2004) Cite this as: BMJ 2004;329:753
  1. Maria Inês Schmidt, associate professor (bbduncan@orion.ufrgs.br),
  2. Bruce B Duncan, associate professor
  1. School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, RS Brazil 90470-280,
  2. School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, RS Brazil 90470-280

    Improving population health demands stronger academic input

    The world has witnessed enormous changes in population health in recent years. The main sources of disease burden are now non-communicable diseases, and death and injury from external causes such as accidents, homicide, and suicide.1 This shift has demanded entirely new organisational structures and expertise within the health sector at a time of great increase in technology and, consequently, in health costs. These changes have been especially difficult to assimilate in developing countries, which must also continue to deal with a large burden of communicable diseases such as AIDS. To overcome these challenges, the World Health Report 2003 recommends strengthening health systems by centring action on primary health care and by integrating health promotion and disease prevention across all levels of care on behalf of the entire population.2

    The campaign to revitalise academic medicine offers an excellent opportunity to question how academics can respond to these challenges.3 4 The case …

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