Popis: |
To the Editor.— In a recent article,1 Bloom discussed the problem of future reductions in infant mortality. He has proposed three ways of meeting this problem: by determining the efficacy, effectiveness, and cost of each intervention in medical care, by substituting less expensive interventions in place of more expensive care, and by separating social solutions from medical solutions for illness. We appreciate his proposals, but we find that such an approach rules out the following two steps: (1) It is necessary to have a better understanding of the current changing trends in neonatal and postneonatal mortality. |