There is a global crisis of severe shortages and marked maldistribution of health professionals that is exacerbated by three great global transitions — demographic changes, epidemiologic shifts, and redistribution of the disability burden. Each of these transitions exerts a powerful force for change in health care systems, the roles of health professionals, and the design of health professional education.1-5 Every country will have to respond to these global pressures for change.
Based on the link you gave for 'epidemiologic transitions' I'd say no. The transitions referred to there would be the same as what is covered by the words "demographic changes".
I believe that 'epidemiologic shifts' are conditions wherein an epidemic of say, dengue fever, moves in, attacks the population in one area and then moves on (shifts) to another area. Cholera does that, so encephalitis and any number of influenzas.
It could also refer to one epidemic replacing another, for example, a flu outbreak being followed shortly thereafter by many people suffering from viral pneumonia.
So, demographic changes (birth and death rates), epidemiologic shifts (movements of contagious diseases ) and redistribution of the disability burden (one or two sectors of a place having far greater or far lesser amounts of disease than other places.)
I hope this helps.
Joe(I am not a doctor, but I play one on A2K)Nation *
*That's a play on words that were in an old ad. An actor from one of the 'hospital shows' appears and says "I'm not a doctor, but I play one on TV." He then proceeds to tell the tv audience about the health benefits of a kind of cough medicine...as if he would know anything about cough medicine.
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