LEADER 03929nam 22006975 450 001 9910300207003321 005 20200629143124.0 010 $a3-319-09882-9 024 7 $a10.1007/978-3-319-09882-1 035 $a(CKB)3710000000271823 035 $a(EBL)1965448 035 $a(SSID)ssj0001386403 035 $a(PQKBManifestationID)11884014 035 $a(PQKBTitleCode)TC0001386403 035 $a(PQKBWorkID)11373748 035 $a(PQKB)10265253 035 $a(DE-He213)978-3-319-09882-1 035 $a(MiAaPQ)EBC1965448 035 $a(PPN)183088298 035 $a(EXLCZ)993710000000271823 100 $a20141103d2015 u| 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aClinical Inertia $eA Critique of Medical Reason /$fby Gérard Reach 205 $a1st ed. 2015. 210 1$aCham :$cSpringer International Publishing :$cImprint: Springer,$d2015. 215 $a1 online resource (161 p.) 300 $aDescription based upon print version of record. 311 $a3-319-09881-0 320 $aIncludes bibliographical references at the end of each chapters and index. 327 $aIntroduction -- 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. 330 $aClinical 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. 606 $aMedicine 606 $aPublic health 606 $aMedicine?Philosophy 606 $aQuality of life 606 $aMedicine/Public Health, general$3https://scigraph.springernature.com/ontologies/product-market-codes/H00007 606 $aPublic Health$3https://scigraph.springernature.com/ontologies/product-market-codes/H27002 606 $aPhilosophy of Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/E34030 606 $aQuality of Life Research$3https://scigraph.springernature.com/ontologies/product-market-codes/X23000 615 0$aMedicine. 615 0$aPublic health. 615 0$aMedicine?Philosophy. 615 0$aQuality of life. 615 14$aMedicine/Public Health, general. 615 24$aPublic Health. 615 24$aPhilosophy of Medicine. 615 24$aQuality of Life Research. 676 $a306 676 $a610 676 $a610.1 676 $a613 676 $a614 700 $aReach$b Gérard$4aut$4http://id.loc.gov/vocabulary/relators/aut$0789377 906 $aBOOK 912 $a9910300207003321 996 $aClinical Inertia$91760711 997 $aUNINA