We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Commentary |

Building Bridges Between Medical Care and Public Health

Nicole Lurie, MD, MSPH; Allen Fremont, MD, PhD
JAMA. 2009;302(1):84-86. doi:10.1001/jama.2009.959.
Text Size: A A A
Published online


Medicine and public health have been likened to trains on parallel tracks, with windows facing opposite directions, looking out on the same landscape. As described by Shalala,1 those individuals on the medical train see the individual trees—the subtle differences in size, color, age, and health; and those individuals aboard the public health train see the forest—populations of similar trees, growing together and weathering the same storms. Although the 2 have potentially complementary perspectives, efforts to improve care as well as personal and population health are hampered by lack of communication and coordination between medical and public health professionals and fragmented data systems. Differing perspectives and disconnected data have also hindered effectiveness of shared efforts between health professionals and other stakeholders, including community-based organizations and health plans. Although the call for greater synergy between medical care and public health is hardly new, emerging technologies and the urgent need for health reform create the opportunity and imperative for them to come together.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

20 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
PubMed Articles