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Greene, Jeremy

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Greene, Jeremy

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2011 - 20146

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Author's Publications: search.filters.isAuthorOfPublication.cc3f4c72-433f-46ea-b193-9a741b20a90f

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Now showing 1 - 6 of 6
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    The Burden of Disease and the Changing Task of Medicine
    (New England Journal of Medicine (NEJM/MMS), 2012) Jones, David; Podolsky, Scott; Greene, Jeremy
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    Is an Ounce of Prevention Worth an Ounce of Cure? Explaining the Decline in Cardiovascular Mortality, 1964-2010
    (2011) Greene, Jeremy; Jones, David
    Mortality from coronary heart disease in the United States has fallen 60% from its peak. Cardiologists and epidemiologists have debated whether this decline reflects risk factor control or the power of medical therapeutics. Attempts to resolve this debate and guide health policy have generated sophisticated datasets and techniques for modeling cardiovascular mortality. Neither effort, however, has provided specific guidance for health policy. Historical analysis of the decline debate and the development of cardiovascular modeling offers valuable lessons for policymakers about tensions between medical and public health strategies, the changing meanings of disease prevention, and ability of evidence-based research and models to guide health policy. Policymakers must learn to open up the black box of epidemiological models -- and of their own decision making processes -- to produce the best evidence-informed policy.
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    The Evolving Roles of the Medical Journal
    (New England Journal of Medicine (NEJM/MMS), 2012) Podolsky, Scott; Greene, Jeremy; Jones, David
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    Therapeutic Evolution and the Challenge of Rational Medicine
    (New England Journal of Medicine (NEJM/MMS), 2012) Greene, Jeremy; Jones, David; Podolsky, Scott
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    The Decline and Rise of Coronary Heart Disease: Understanding Public Health Catastrophism
    (American Public Health Association, 2013) Jones, David; Greene, Jeremy
    The decline of coronary heart disease mortality in the United States and Western Europe is one of the great accomplishments of modern public health and medicine. Cardiologists and cardiovascular epidemiologists have devoted significant effort to disease surveillance and epidemiological modeling to understand its causes. One unanticipated outcome of these efforts has been the detection of early warnings that the decline had slowed, plateaued, or even reversed. These subtle signs have been interpreted as evidence of an impending public health catastrophe. This article traces the history of research on coronary heart disease decline and resurgence and situates it in broader narratives of public health catastrophism. Juxtaposing the coronary heart disease literature alongside the narratives of emerging and reemerging infectious disease helps to identify patterns in how public health researchers create data and craft them into powerful narratives of progress or pessimism. These narratives, in turn, shape public health policy.
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    Making the Case for History in Medical Education
    (Oxford University Press (OUP), 2014) Jones, David; Greene, Jeremy; Duffin, Jacalyn; Warner, John
    Historians of medicine have struggled for centuries to make the case for history in medical education. They have developed many arguments about the value of historical perspective, but their efforts have faced persistent obstacles, from limited resources to curricular time constraints and skepticism about whether history actually is essential for physicians. Recent proposals have suggested that history should ally itself with the other medical humanities and make the case that together they can foster medical professionalism. We articulate a different approach and make the case for history as an essential component of medical knowledge, reasoning, and practice. History offers essential insights about the causes of disease (e.g., the non-reductionistic mechanisms needed to account for changes in the burden of disease over time), the nature of efficacy (e.g., why doctors think that their treatments work, and how have their assessments changed over time), and the contingency of medical knowledge and practice amid the social, economic, and political contexts of medicine. These are all things that physicians must know in order to be effective diagnosticians and caregivers, just as they must learn anatomy or pathophysiology. The specific arguments we make can be fit, as needed, into the prevailing language of competencies in medical education.