By Gerd Gigerenzer, J. A. Muir Gray
Contrary to well known opinion, one of many major difficulties in offering uniformly very good wellbeing and fitness care isn't loss of cash yet lack of understanding -- at the a part of either medical professionals and sufferers. The reviews during this e-book convey that many medical professionals and so much sufferers do not realize the to be had scientific proof. either sufferers and medical professionals are "risk illiterate" -- often not able to inform the variation among real danger and relative chance. extra, unwarranted disparity in therapy judgements is the guideline instead of the exception within the usa and Europe. All of this contributes to a lot wasted spending in future health care. The participants to Better medical professionals, larger sufferers, greater Decisions examine the roots of the matter, from the emphasis in clinical study on know-how and blockbuster medications to the inability of schooling for either medical professionals and sufferers. They demand a brand new, extra enlightened well-being care, with higher clinical schooling, journals that document examine results thoroughly and transparently, and sufferers in charge of their own scientific files, now not scared of data yet capable of use them to make educated judgements approximately their treatments.
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Extra info for Better Doctors, Better Patients, Better Decisions: Envisioning Health Care 2020
Now, almost all (87%) gynecologists understood that 9 + 89 will test positive, and only 9 of these actually have breast cancer, which amounts to roughly 1 out of 10 (Gigerenzer et al. 2007). This and other mental techniques can be efficiently taught in a few hours and—most important—unlike standard statistical training, the training effects do not fade away after a few weeks (Sedlmeier and Gigerenzer 2001). Some medical schools are presently adopting these techniques, but most still produce physicians who lack the ability to understand evidence.
We will demonstrate that patients have a hard time finding good information, be it in searching through invitations to screening, medical pamphlets, the Internet, or media reports about medical research. All of these sources suffer from nontransparent information and are more likely to confuse people than to enlighten them. Are Patients Likely to Find Transparent Information in Medical Pamphlets or on the Internet? Patients only rarely consult first-hand sources such as medical journals. Instead, besides asking their physician, they rely on other sources of information.
Similar lack of understanding among physicians has been reported in the evaluation of positive HIV tests (Gigerenzer et al. 1998), in diabetes prevention studies (Mühlhauser et al. 2006), and other medical tests and treatments (Eddy 1982; Casscells et al. 1978; Ghosh and Ghosh 2005; Hoffrage et al. 2000; Young et al. 2002). The inability of so many physicians to understand evidence in their own specialty is a disturbing fact. But medical schools and continuing education programs do not seem to acknowledge this collective statistical illiteracy as a fundamental problem of health care.
Better Doctors, Better Patients, Better Decisions: Envisioning Health Care 2020 by Gerd Gigerenzer, J. A. Muir Gray