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Healthy Skepticism Library item: 20331

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Freemantle N
Are decisions taken by health care professionals rational? A non systematic review of experimental and quasi experimental literature.
Health Policy 1996; 38:(2):71-81
http://www.healthpolicyjrnl.com/article/0168-8510%2896%2900837-8/abstract


Abstract:

Systematic overviews of the effectiveness and cost effectiveness of health care interventions are increasingly available, and yet there has been relatively little attention upon putting their important findings into practice. Furthermore, close attention to the decision making behaviour of health professionals in situations of uncertainty indicates that this may not always be ‘rational’. This paper examines developments in the understanding of rationality in decision making from outside the health care setting, particularly the interesting work on ‘regret theory’, and begins to apply this framework to health care.

Keywords:
Cost-Benefit Analysis Decision Theory* Diagnosis* Great Britain Information Services Outcome and Process Assessment (Health Care)/economics* Physician's Practice Patterns/economics Physician's Practice Patterns/standards*

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909