By Gerd Gigerenzer, J. A. Muir Gray
Contrary to well known opinion, one of many major difficulties in delivering uniformly very good overall healthiness care isn't really loss of cash yet lack of information -- at the a part of either medical professionals and sufferers. The stories during this publication exhibit that many medical professionals and so much sufferers do not realize the to be had clinical facts. either sufferers and medical professionals are "risk illiterate" -- usually not able to inform the adaptation among real hazard and relative hazard. additional, unwarranted disparity in therapy judgements is the rule of thumb instead of the exception within the usa and Europe. All of this contributes to a lot wasted spending in wellbeing and fitness care. The individuals to Better medical professionals, greater sufferers, higher Decisions examine the roots of the matter, from the emphasis in clinical study on know-how and blockbuster medicinal drugs to the shortcoming of schooling for either medical professionals and sufferers. They demand a brand new, extra enlightened overall healthiness care, with higher scientific schooling, journals that record research results thoroughly and transparently, and sufferers answerable for their own scientific files, no longer terrified of records yet capable of use them to make proficient judgements approximately their treatments.
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Extra info for Better Doctors, Better Patients, Better Decisions: Envisioning Health Care 2020
Although a few informative TV programs do exist, our personal experience with producers and talk show hosts is that most prefer entertaining stories, in particular about celebrities, and poignant pictures to the task of informing the public. A few newspapers have begun to promote correct and transparent reporting in place of sensationalism and confusion. In the United States, journalists are taught at MIT’s Medical Evidence Boot Camp, the Medicine in the Media program sponsored by NIH and the Dartmouth Institute for Health Policy and Clinical Practice’s Center for Medicine and the Media.
These appear to be a cause of the striking phenomenon of unwarranted practice variability, as recorded in the Dartmouth Atlas of Health Care. Since the 1970s, Jack Wennberg and his collaborators have systematically documented large and unwarranted variability in practice in North America and Europe. For instance, 8% of the children in one referral region in Vermont had their tonsils removed while in another area 70% underwent tonsillectomies. In Maine, the proportion of women who have had a hysterectomy by the age of 70 varies between communities from less than 20% to more than 70%.
M. Gray 2. 3. Organizations responsible for continuing medical education and recertification programs should ensure that practicing doctors receive the same education in transparent risk communication as medical students. Patients should have the courage to ask questions about the range of options, their quantitative benefits and harms, and insist on transparent answers from their doctors, just as if they were speaking to a school teacher about their child’s progress. Patients can be resourceful, provided they are given the resources in the first place (Gray 2002).