Medicine

Living with complexity and big data. Causal dispositionalim enters pharmacovigilance

Ralph Edwards on dispositionalism in pharmacovigilance

We have seen a lot of interest in the CauseHealth approach and issues during these last years, especially among clinicians who see a need for a more person centered healthcare. Can this be useful also outside the clinic? Yes, according to senior medical advisor at the WHO Uppsala Monitoring Center for Drug Safety, Ralph Edwards. In a recent perspectives article in the UMC report, he argues that dispositionalism can be useful for dealing with complexity, individual variation and the patient’s unique context. (more…)

Advertisements

DATA AND THEORY: NEW CAUSEHEALTH PAPER ABOUT THE PROBLEM OF WEIGHING COMPLEX EVIDENCE IN MEDICINE.

by Elena Rocca

data

In the early 19th century, the Hungarian physician Ignaz Semmelweis noticed from his clinical experience that antiseptic routines in healthcare reduced infections at childbirth. After carrying out some studies on the matter, he proposed that the practice of disinfecting hands in the obstetrician ward of the Vienna General Hospital, where he worked at the time, would have reduced the incidence of puerperal fever. However, for that time this seemed as an implausible suggestion.  The germ theory of disease was still unheard of (Pasteur developed such theory only some decades later), and therefore there was no accepted understanding of how disease could be transmitted from one organism to the other. Semmelweis suggestion was therefore rejected by the medical community. (more…)

http://photos.jdhancock.com/photo/2011-08-22-001429-together.html

Does your regular GP know you – as a person? And if so, does it matter?

Written by Bente Prytz Mjølstad
(#3 of the Whole Person reflections series)

Have you ever thought about whether your regular GP knows more about you than your blood pressure or cholesterol levels? If so, might such knowledge be of any medical relevance?

Most of us visit our regular GP once or twice a year for more or less trivial complaints, and you are probably most interested in the GPs medical skills, and not so concerned about whether the doctor knows you as person or not. However, if you got seriously ill or had a chronic illness, would it still not matter? (more…)

What if…

fear-1131143_1920

Author Anna Luise Kirkengen
(#2 of the Whole Person reflections series)

What if one would weave a text by means of threads coloured by the recent topics of the on-going CauseHealth project. One thread would be causality, and how it is understood and applied in current biomedicine. Another would be ontology in the sense of how a human being and the human body is conceptualised in medicine and how this concept underpins the Western health care systems. A third thread would be methodology, and how the predominant methods for knowledge production, group based, randomised trials often including thousands of patients, might be radically challenged by the concept of N=1. A fourth thread would be stories in the sense of biographies before a person fell ill, and stories in the sense of testimonies of being ill – and how these have been systematically avoided as possible source of contamination in medical knowledge production. A fifth thread would then be knowledge condensates as these have grown both in number and normativity in the shape of clinical guidelines in all medical specialties during the latest years. Together, these threads can form quite different pictures, dependent on the frame applied. (more…)

What is the Guidelines Challenge?

Rani Lill Anjum

CauseHealth recently organised a conference in Oxford called The Guidelines Challenge: Philosophy, Practice, Policy.

For those who missed the event, podcasts of the talks are available on our YouTube channel, and there is also a summary from each of the two days on Storify (day 1, day 2). There is also a Twitter hashtag, #GuidelinesChallenge.
(more…)