Osvaldo TJ

Language: Spanish
References: 6
Page: 267-268
PDF size: 45.38 Kb.

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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

1. 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.

2. Feinstein AR. Clinical Biostatistics. III. The architecture of clinical research. Clin Pharmacol Therap. 1970;11(3):432- 441.

3. Feinstein AR. Clinical Biostatistics. IV. The architecture of clinical research. Clin Pharmacol Therap. 1970;11(4):595- 610.

4. Feinstein AR. Clinical Biostatistics. V. The architecture of clinical research. Clin Pharmacol Therap. 1970;11(5):755- 771.

5. Feinstein AR. Clinical Judgement. New York, USA: Krieger; 1976.

6. 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.