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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Kinds of patients
1National Advisory Committee on Health and Disability, Ministry of Health, Wellington, New Zealand.
The Journal of Medicine and Philosophy
|March 21, 1998
Summary
Health outcomes research aims to identify patient groups benefiting from treatments. This study argues that the claim "every patient is unique" is misguided, challenging a kinds-based approach in clinical practice.
Area of Science:
- Health outcomes research
- Clinical practice
- Philosophy of science
Background:
- Health outcomes research seeks to identify patient subgroups that benefit from specific medical interventions.
- Clinicians face challenges in standardizing practice based on health outcome data due to the assertion that "every patient is unique".
Purpose of the Study:
- To examine the philosophical concept of natural kinds and its applicability to a kinds-based approach in clinical research and practice.
- To evaluate the coherence of the claim that "every patient is unique" within the context of health outcomes research.
Main Methods:
- Philosophical analysis of the notion of natural kinds.
- Examination of the challenges in applying a kinds-based approach to clinical practice.
Main Results:
- The claim of "patient uniqueness" is considered misguided.
- Difficulties in assigning single-case probabilities and the potential for stereotyping and discrimination are identified as key challenges.
Conclusions:
- A kinds-based approach to clinical practice, informed by health outcomes research, is philosophically coherent.
- The assertion of "patient uniqueness" is not a valid reason to resist standardizing clinical practices based on evidence.
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