Titlebook: Clinical Inertia; A Critique of Medica Gérard Reach Book 2015 Springer International Publishing Switzerland 2015 Clinical inertia.Efficienc

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Conclusion: Time for Medical Reason,d the interest of “individualized” guidelines which will allow physicians to truly apply a sound practice of Evidence-Based Medicine: taking into account not only cohort-based science but also the individual character of any medical decision. Thus it is necessary to allow time for physician medical

comely

寬度

Regurgitation

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https://doi.org/10.1057/9780230288102he recent literature, analyzing a hundred references, demonstrating the breadth of the phenomenon and its consequences, in particular in term of loss of chance for the patient: for example, lack of treatment intensification of diabetes or hypertension represents a cause of persistent disequilibrium

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rheumatism

Marvin L. Astrada,Félix E. Martín treatments. Thus Evidence-Based Medicine is supposed to help the physician make decisions in a fundamentally uncertain context, both at the level of diagnosis and of therapeutic choices. However, as the founders of Evidence-Based Medicine repeated time and again, medical decisions should not only r

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Marvin L. Astrada,Félix E. Martínibed in particular by Kahneman and Tversky and that have the advantage of rapidity: for example the representativeness heuristic has us ask how the patient in front of us resembles patients in a specific category, or the availability heuristic has us assess the probability of an event by the ease wi

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https://doi.org/10.1057/9780230390164r initial training and through Continuous Medical Education. (2) Facilitators: use of protocols, electronic medical records, disease management, establishment of a Coordinated Health Care Plan, use of telemedicine. (3) Strengthening the physician’s motivation through incentives by health authorities

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https://doi.org/10.1057/9780230390164e meaning of Evidence-Based Medicine. From an epistemological point of view, it is possible to consider Evidence-Based Medicine as a contemporary “invention” concomitant with those of patient education and the principle of autonomy in medicine. The fact that these three inventions were simultaneous