Why do we always end up here? Evidence-based medicine's conceptual cul-de-sacs and some off-road alternative routes, 2012, Greenhalgh

[Dolphin]

Greenhalgh T. Why do we always end up here? Evidence-based medicine's conceptual cul-de-sacs and some off-road alternative routes. J Prim Health Care. 2012 Jun 1;4(2):92-7. PMID: 22675691.

Full text can be read for free here:

https://www.researchgate.net/profile/Trisha-Greenhalgh/publication/225276822_Why_Do_We_Always_End_Up_Here_Evidence-Based_Medicine's_Conceptual_Cul-De-Sacs_and_Some_Off-Road_Alternative_Routes/links/0deec5299006a9cc66000000/Why-Do-We-Always-End-Up-Here-Evidence-Based-Medicines-Conceptual-Cul-De-Sacs-and-Some-Off-Road-Alternative-Routes.pdf

 

[Utsikt]

I think this is the correct link:

https://www.researchgate.net/publication/225276822_Why_Do_We_Always_End_Up_Here_Evidence-Based_Medicine's_Conceptual_Cul-De-Sacs_and_Some_Off-Road_Alternative_Routes

 

[Dolphin]

I think this is the correct link:

https://www.researchgate.net/publication/225276822_Why_Do_We_Always_End_Up_Here_Evidence-Based_Medicine's_Conceptual_Cul-De-Sacs_and_Some_Off-Road_Alternative_Routes

Thanks. Have fixed it now.

 

[Trish]

I have done a quick read of the article. It seems to be a long winded attempt to justify her decision as a GP not to do the standard checks on a person with a persistent cough on the grounds of the person's mental health and personal circumstances, all wrapped in long wander through paradigm shifts, social sciences and EBM.

Seems very irresponsible.

 

[bobbler]

I have done a quick read of the article. It seems to be a long winded attempt to justify her decision as a GP not to do the standard checks on a person with a persistent cough on the grounds of the person's mental health and personal circumstances, all wrapped in long wander through paradigm shifts, social sciences and EBM.

Seems very irresponsible.

That’s shocking by the sounds if she didn’t

Also I don’t get it - isn’t it easier and quicker to answer the question by the probably quick and more verified tests fir the cough

To rule in or out ‘imagining’ or not? Or is that not the insinuation - if it is then it’s all a bit neat/ironic isn’t it that we’ve people imagining others are imagining things to such a convinced level/have so much power differential that they no longer test where their ‘suspicion’ is the case in the way that could actually tests that (it’s not imagined if it was there?) but instead prefer and then justify the reason that avoids testing it?