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Literature DB >> 20594443

Protecting generalism: moving on from evidence-based medicine?

Abstract

Quality of decision making in modern health care is defined with reference to evidence-based medicine. There are concerns that this approach is insufficient for, and may thus threaten the future of, generalist primary care. We urgently need to extend our account of quality of knowledge use and decision making in order to protect and develop the discipline. Interpretive medicine describes an alternative framework for use in generalist care. Priorities for clinical practice and research are identified.

Entities: Disease

Mesh：

Year: 2010 PMID： 20594443 PMCID： PMC2894382 DOI： 10.3399/bjgp10X514792

Source DB: PubMed Journal: Br J Gen Pract ISSN： 0960-1643 Impact factor: 5.386

12 in total

10. Psychiatric comorbidity among terminally ill patients in general practice in the Netherlands: a comparison between patients with cancer and heart failure.

Authors: Chong Guan Ng; Ellen Dijkstra; Hugo Smeets; Marco P M Boks; Niek J de Wit
Journal: Br J Gen Pract Date: 2013-01 Impact factor: 5.386

Protecting generalism: moving on from evidence-based medicine?

1. Evidence-based medicine. A new approach to teaching the practice of medicine.

2. The generalist approach.

3. The promise and pitfalls of generalism in achieving the Alma-Ata vision of health for all.

4. The problem of fragmentation and the need for integrative solutions.

5. The problem with usual care.

6. Biomedicine, holism and general medical practice: responses to the 2004 General Practitioner contract.

7. The biopsychosocial model of general practice: rhetoric or reality?

8. Evidence based medicine: what it is and what it isn't.

9. Interpretive medicine: Supporting generalism in a changing primary care world.

10. Understanding the diversity and dynamics of living with diabetes: a feasibility study focusing on the case.

1. What's special about medical generalism? The RCGP's response to the independent Commission on Generalism.

2. Clinical pathways: unique contribution of family medicine.

3. 'In my day …': towards the utilisation of living history?

4. Questionnaire severity measures for depression.

5. 4th annual primary care ethics conference: ethics education and lifelong learning.

6. Defining the specialist generalist: The imperative for adaptive expertise in family medicine.

7.

8. A theoretical framework for multimorbidity: from complicated to chaotic.

9. Practising humility: how philosophy can inform general practice.

10. Psychiatric comorbidity among terminally ill patients in general practice in the Netherlands: a comparison between patients with cancer and heart failure.