TY  - BOOK
AU  - Reach,Gérard
ED  - SpringerLink (Online service)
TI  - Clinical Inertia: A Critique of Medical Reason 
SN  - 9783319098821
AV  - R1 
U1  - 610 23
PY  - 2015///
CY  - Cham
PB  - Springer International Publishing, Imprint: Springer
KW  - medicine
KW  - Philosophy
KW  - Public health
KW  - Medical research
KW  - quality of life
KW  - Medicine & Public Health
KW  - Medicine/Public Health, general
KW  - Public Health
KW  - Philosophy of Medicine
KW  - Quality of Life Research
N1  - Introduction -- Definitions -- The Evidence: The Gap Between Clinical Guidelines and Reality -- Determinants and Explanatory Models of Clinical Inertia -- The Doctor and Evidence-Based Medicine -- To Do or Not to Do: A Critique of Medical Reason -- Fighting Against True Clinical Inertia -- Conclusion: Time for Medical Reason -- References
N2  - Clinical practice guidelines were initially developed within the context of evidence-based medicine with the goal of putting medical research findings into practice. However, physicians do not always follow them, even when they seem to apply to the particular patient they have to treat. This phenomenon, known as clinical inertia, represents a significant obstacle to the efficiency of care and a major public health problem, the extent of which is demonstrated in this book. An analysis of its causes shows that it stems from a discrepancy between the objective, essentially statistical nature of evidence-based medicine on the one hand and the physician’s own complex, subjective view (referred to here as “medical reason”) on the other. This book proposes a critique of medical reason that may help to reconcile the principles of evidence-based medicine and individual practice. The author is a diabetologist and Professor of Endocrinology, Diabetology and Metabolic Diseases at Paris 13 University. He has authored several books, including one to be published by Springer (Philosophy and Medicine series) under the title: The Mental Mechanisms of Patient Adherence to Long Term Therapies, Mind and Care
UR  - http://dx.doi.org/10.1007/978-3-319-09882-1
ER  -