In a recent survey done in the U.S. among physicians, over 1,000 physicians, 80 percent of them actually said that they know that their patients' upstream problems are as important as their health issues, as their medical problems, and yet despite that widespread awareness of the importance of upstream issues, only one in five doctors said they had any sense of confidence to address those issues, to improve health where it begins.
Em uma pesquisa recente feita com médicos nos EUA, mais de mil deles, 80% disseram que sabem que os problemas rio-acima dos pacientes são tão importantes quanto as doenças e problemas médicos, e mesmo assim, apesar dessa consciência da importância das questões rio-acima, só um de cada cinco médicos disseram que tinham qualquer confiança para lidar com esses assuntos, para melhorar a saúde no seu início.