Clinical Judgment: the scientific method applied to medical attention
Main Article Content
Keywords
Thinking, Clinical Medicine, Evidence-Based Medicine, Clinical Judgement, Scientific Method
Abstract
Medical care based on technical rationality, along with "Evidence-Based Medicine", converted the doctor in an operative technician and relegated the participation of the patient, only with his disease. The health-disease phenomenon results from the complex patient-environment interaction over time. The management of this intricate situation led the development of Clinical Judgment -scientific method applied to the clinic-, and is described in the "Architecture of Clinical Research". Dr. Alvan R. Feinstein wrote, "There is nothing in such description [of the concepts] that a sensible physician, experienced in health care, does not know, or cannot understand".
References
Talavera JO, Roy-García I, Palacios-Cruz L, Rivas-Ruiz R, Hoyo I, Pérez-Rodríguez M. De vuelta a la clínica. Métodos I. Diseños de investigación. Mayor calidad de información, mayor certeza a la respuesta. Gac Med Mex. 2019;155(4):399-405.
Feinstein AR. Clinical Biostatistics. III. The architecture of clinical research. Clin Pharmacol Therap. 1970;11(3):432-441.
Feinstein AR. Clinical Biostatistics. IV. The architecture of clinical research. Clin Pharmacol Therap. 1970;11(4):595-610.
Feinstein AR. Clinical Biostatistics. V. The architecture of clinical research. Clin Pharmacol Therap. 1970;11(5):755-771.
Feinstein AR. Clinical Judgement. New York, USA: Krieger; 1976.
Talavera JO, Wacher-Rodarte NH, Rivas-Ruiz R. Investigación clínica III. Estudios de causalidad. Rev Med Inst Mex Seguro Soc. 2011;49(3):289-294.