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Clinical practice: between Aristotle and Cochrane

P Fugelli1

  • 1Institute of General Practice and Community Medicine, University of Oslo, Norway.

Schweizerische Medizinische Wochenschrift
|April 16, 1998
PubMed
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Clinical practice requires more than just evidence-based medicine. General practitioners need practical wisdom, gained through experience, to balance science with the human element in patient care.

Area of Science:

  • General Practice
  • Medical Ethics
  • Sociology of Health

Background:

  • Clinical practice is influenced by political and cultural factors, extending beyond scientific principles.
  • Modern medicine's reliance on technology and rationality can lead to depersonalized patient care.
  • Commercialization and bureaucracy impact contemporary medical practice.

Purpose of the Study:

  • To explore the limitations of evidence-based medicine in general practice.
  • To highlight the importance of the patient-physician relationship and pragmatic medicine.
  • To advocate for the integration of practical wisdom (phronesis) in clinical decision-making.

Main Methods:

  • Qualitative analysis of the multifaceted nature of health and disease.
  • Exploration of the philosophical underpinnings of medical practice, contrasting scientia with phronesis.

Related Experiment Videos

  • Discussion of the impact of modernity, technology, and commercialization on patient care.

    • Main Results:

    • Evidence-based medicine is necessary but insufficient for effective clinical practice.
    • A continuous patient-doctor relationship is crucial for general practice.
    • Over-reliance on rationality and technology can be detrimental, leading to a loss of human touch.

    Conclusions:

    • Good clinical practice is an amalgam of scientific knowledge (scientia) and practical wisdom (phronesis).
    • General practitioners must cultivate phronesis through experience to navigate complex patient needs.
    • Balancing scientific advancements with humanistic values is essential for holistic patient care.