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American Journal of Epidemiology Vol. 146, No. 11: 907-911
Copyright © 1997 by The Johns Hopkins University School of Hygiene and Public Health

article-commentary

Current Problems That Are Likely to Affect the Future of Epidemiology

Philip C. Nasca

From the Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts at Amherst Amherst, MA

Reprint requests to Dr. Philip C. Nasca, Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts at Amherst, Room 406 Amold House, Amherst, MA 01003-0430

The current discussion focuses on criticism as a positive force for improving epidemiologic practice through periodic reexamination of the basic approach to the discipline and the strategy for meeting the future educational needs of students and practicing epidemiologists. The types of epidemiologic research conducted and the settings within which the research will be conducted are also discussed. Epidemiology can be expected to play a major role in new areas of research that are created by changes in the medical care system and the development of large data systems associated with these approaches to health care delivery. This paper also discusses the growing threat to data access, the problems of communicating epidemiologic research findings to the public through the media, and the expanding interface between epidemiologic research and the legal system. The role of epidemiologic organizations in helping to shape the discipline's response to these issues and the opportunities these issues or problems present for improving epidemiologic research are also discussed.

databases, factual; educational; medical; graduate; research


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