28 Ιαν 2011

Why Almost Everything You Hear About Medicine Is Wrong

Και τώρα θα μου πείτε... τι σχέση έχει αυτό το post με το HRM;;;

Διαβάστε το άρθρο που ακολουθεί και θα καταλάβετε. Το ξεκίνημα του Evidence-Based Management, για το οποίο έχουμε αναρτήσει πολλά post σε αυτό το blog, βρίσκεται στην ιατρική και στο Evidence-Based Medicine με κυριάρχο φορέα υλοποίησης το Cochrane Collaboration.
Στο άρθρο φαίνεται ο ιδιαίτερα σημαντικός ρόλος ενός κορυφαίου Έλληνα ιατρού του Καθ. Ιωάννη Ιωαννίδη, από το Παν/μιο Ιωαννίνων. Περισσότερα για τον Καθ. Ιωαννίδη μπορείτε να βρείτε σε αυτή την εκπομπή των “Νέων Φακέλων” του ΣΚΑΪ: http://folders.skai.gr/main/theme?locale=el&id=83. Το θέμα το οποίο συζητούν στην εκπομπή αφορά το ακόλουθο άρθρο:
“Arabian nights—1001 tales of how pharmaceutical companies cater to the material needs of doctors: case report”, Ioannis A Giannakakis and John P A Ioannidis, BMJ 2000; 321 : 1563 doi: 10.1136/bmj.321.7276.1563 (Published 23 December 2000)
FREE FULL TEXT: http://www.bmj.com/content/321/7276/1563.full

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Why Almost Everything You Hear About Medicine Is Wrong

If you follow the news about health research, you risk whiplash. First garlic lowers bad cholesterol, then—after more study—it doesn’t. Hormone replacement reduces the risk of heart disease in postmenopausal women, until a huge study finds that it doesn’t (and that it raises the risk of breast cancer to boot). Eating a big breakfast cuts your total daily calories, or not—as a study released last week finds. Yet even if biomedical research can be a fickle guide, we rely on it.

But what if wrong answers aren’t the exception but the rule? More and more scholars who scrutinize health research are now making that claim. It isn’t just an individual study here and there that’s flawed, they charge. Instead, the very framework of medical investigation may be off-kilter, leading time and again to findings that are at best unproved and at worst dangerously wrong. The result is a system that leads patients and physicians astray—spurring often costly regimens that won’t help and may even harm you.

It’s a disturbing view, with huge implications for doctors, policymakers, and health-conscious consumers. And one of its foremost advocates, Dr. John P.A. Ioannidis, has just ascended to a new, prominent platform after years of crusading against the baseless health and medical claims. As the new chief of Stanford University’s Prevention Research Center, Ioannidis is cementing his role as one of medicine’s top mythbusters. “People are being hurt and even dying” because of false medical claims, he says: not quackery, but errors in medical research.

This is Ioannidis’s moment. As medical costs hamper the economy and impede deficit-reduction efforts, policymakers and businesses are desperate to cut them without sacrificing sick people. One no-brainer solution is to use and pay for only treatments that work. But if Ioannidis is right, most biomedical studies are wrong.

Το υπόλοιπο άρθρο μπορείτε να το διαβάσετε εδώ.

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