Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: In their model, Dr Gruen and
colleagues1 described the inner 2 domains
(access to care, direct socioeconomic influences) as professional responsibilities,
whereas the outer 2 domains (broad socioeconomic influences, global health
influences) were said to be aspirations that "may not be sufficiently different
from those of other citizens for them to be recognized as professional obligations."
Thus, we are concerned that the authors were unduly narrow in their focus
on physicians whose practices treat individual patients, and that they overlooked
the contribution to advocacy and public involvement offered by preventive-medicine
physicians who practice population-based, rather than individual patient–based,
medicine. We contend that the authors should have mentioned both preventionists
(ie, public health physicians who do not necessarily deliver individual care)
and physicians involved in advocacy organizations as physician role models
for public involvement.
Compton MT, Advani A, McLaughlin J, Tobin-D'Angelo M, Tong E, Frank E. Physicians as Citizens. JAMA. 2004;291(17):2075-2076. doi:10.1001/jama.291.17.2076-b