Marknadens största urval
Snabb leverans

Crisis in Contemporary Medicine and the Rise of the Reflective Physician

- 2nd Edition

Om Crisis in Contemporary Medicine and the Rise of the Reflective Physician

This book is an account of criticism and controversy surrounding modern medicine. Chapter One provides an overview of the contents. Chapter Four explains the contribution of the concept of paradigm'' to the analysis provided. The argument is that, for all its fine accomplishments in medicine, the science has also damaged the art. This view is an echo of views expressed by eminent physicians early in the last Century, including William Osler and Francis Peabody. Concrete evidence of an ailing doctor-patient relationship is manifest in the form of some serious clinical problems. These include patient dissatisfaction, failure to take prescribed medication, failure of a doctor''s reassurance of normality to allay anxiety, resort to alternative medicine, use of patient advocates and defection'' to alternative medicine. These we see as, not only damaging to treatment and health outcome, and very expensive, but indicators of a basic lack of trust. To compound the problem, the clinical process is essentially hermeneutic; an interpretive exercise. Hence it cannot be studied without interview and qualitative data analysis. Such methods are also indispensable for the understanding of the doctor''s management decisions, particularly the social context. The science of medicine is well served by biomedical research and education which has recently been reinforced by the rise of clinical epidemiology and evidence-based medicine. Of great concern is that the skills of sociology and the humanities have been spurned, even denigrated as journalistic'' or unscientific''. Not only has this prevented physicians from fully understanding the patient''s medical views and social predicament, but has robbed us of the humanistic'' research methods needed to research the problems. These problems cannot be explained simply as side-effects of the impact of science. Rather there are much deeper currents. In Thomas Kuhn''s terms, medicine shifted paradigm from superstition to rationality in Ancient Greece, and again to scientific modern medicine at the time of the French Revolution. Medicine, it seems, is on the cusp of a further paradigm shift to a postmodern paradigm. The goal is that this brings the necessary balance between the already revitalised science and the ancient art of medicine. To achieve this, the establishment of centres for the study of clinical practice'' to train reflective physicians'', who will lead clinical practice research'', with multidisciplinary studies of the process of clinical care is needed. This will mean applying research methods of empirical science, clinical epidemiology, biostatistics and evidence-based medicine, already in progress and, in cooperation with relevant academics hosted by the centre, interview techniques involving qualitative analysis or any other appropriate methods. An important function is to act as a catalyst to inject social science and humanities into the current modern medical curriculum.

Visa mer
  • Språk:
  • Engelska
  • ISBN:
  • 9781634842563
  • Format:
  • Inbunden
  • Sidor:
  • 492
  • Utgiven:
  • 1 Januari 2016
  • Mått:
  • 180x260x0 mm.
  • Vikt:
  • 744 g.
Leveranstid: 2-4 veckor
Förväntad leverans: 10 Juli 2024

Beskrivning av Crisis in Contemporary Medicine and the Rise of the Reflective Physician

This book is an account of criticism and controversy surrounding modern medicine. Chapter One provides an overview of the contents. Chapter Four explains the contribution of the concept of paradigm'' to the analysis provided. The argument is that, for all its fine accomplishments in medicine, the science has also damaged the art. This view is an echo of views expressed by eminent physicians early in the last Century, including William Osler and Francis Peabody. Concrete evidence of an ailing doctor-patient relationship is manifest in the form of some serious clinical problems. These include patient dissatisfaction, failure to take prescribed medication, failure of a doctor''s reassurance of normality to allay anxiety, resort to alternative medicine, use of patient advocates and defection'' to alternative medicine. These we see as, not only damaging to treatment and health outcome, and very expensive, but indicators of a basic lack of trust. To compound the problem, the clinical process is essentially hermeneutic; an interpretive exercise. Hence it cannot be studied without interview and qualitative data analysis. Such methods are also indispensable for the understanding of the doctor''s management decisions, particularly the social context. The science of medicine is well served by biomedical research and education which has recently been reinforced by the rise of clinical epidemiology and evidence-based medicine. Of great concern is that the skills of sociology and the humanities have been spurned, even denigrated as journalistic'' or unscientific''. Not only has this prevented physicians from fully understanding the patient''s medical views and social predicament, but has robbed us of the humanistic'' research methods needed to research the problems. These problems cannot be explained simply as side-effects of the impact of science. Rather there are much deeper currents. In Thomas Kuhn''s terms, medicine shifted paradigm from superstition to rationality in Ancient Greece, and again to scientific modern medicine at the time of the French Revolution. Medicine, it seems, is on the cusp of a further paradigm shift to a postmodern paradigm. The goal is that this brings the necessary balance between the already revitalised science and the ancient art of medicine. To achieve this, the establishment of centres for the study of clinical practice'' to train reflective physicians'', who will lead clinical practice research'', with multidisciplinary studies of the process of clinical care is needed. This will mean applying research methods of empirical science, clinical epidemiology, biostatistics and evidence-based medicine, already in progress and, in cooperation with relevant academics hosted by the centre, interview techniques involving qualitative analysis or any other appropriate methods. An important function is to act as a catalyst to inject social science and humanities into the current modern medical curriculum.

Användarnas betyg av Crisis in Contemporary Medicine and the Rise of the Reflective Physician



Hitta liknande böcker
Boken Crisis in Contemporary Medicine and the Rise of the Reflective Physician finns i följande kategorier:

Gör som tusentals andra bokälskare

Prenumerera på vårt nyhetsbrev för att få fantastiska erbjudanden och inspiration för din nästa läsning.