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Fourth Critique of Buchman and Chalfin’s Analysis

  • Richard Burrows
Chapter

Abstract

Science demands precise measurements with defined tolerances. Flight requires measurements of lift, drag, thrust and gravity without which one leaps off a tower with nothing more than blind faith and a more certain result than that afforded the Wright brothers. The social sciences also need measurements without which there can be no rational programmes to improve the lot of society. But these measurements cannot be made without a definition as to what one is measuring and while some definitions such as infant mortality, maternal mortality and longevity are precise, the social sciences also use abstract terms as “quality”, “equality”, “fairness” and “justice” that are often highly subjective and measured by “reasonable” consensus that makes the social sciences more Art than Science as illustrated in Dunstan’s words: … It is to be measured by the quality of lives preserved or restored; and by the quality of the dying of those in whose interest it is to die; and by the quality of human relationships involved in each death [1].

Keywords

ICU resource allocation Future of health care Global medical village Analysis in perspective 

References

  1. 1.
    Dunstan GR. Hard questions in intensive care. A moralist answers questions put to him at a meeting of the Intensive Care Society, Autumn, 1984. Anaesthesia. 1985;40:479–82.PubMedCrossRefGoogle Scholar
  2. 2.
    Illich I. Death undefeated: from medicine to medicalisation to systematisation. BMJ. 1995;311(23–30):1652–3.PubMedCrossRefGoogle Scholar
  3. 3.
    Dietrich Dörner. The logic of failure: recognizing and avoiding error in complex situations. New York: Metropolitan Books; 1996. p. 8.Google Scholar
  4. 4.
    George Bernard Shaw. Opening remarks - Prologue to Doctor’s Dilemma.Google Scholar
  5. 5.
    Hardin G. The tragedy of the commons. Science. 1968;162:1243–8.CrossRefGoogle Scholar
  6. 6.
    Illich I. Medical nemesis: the expropriation of health. New York: Random House; 1976.Google Scholar
  7. 7.
    Wright R, Sykes MK. Intermittent positive pressure respiration in tetanus neonatorum 278. Lancet. 1961;278(7204):678–80.CrossRefGoogle Scholar
  8. 8.
    Price MR Broomberg J. The impact of the fee-for-service reimbursement system in the utilisation of health services: part III a comparison of caesarean section rates in White Nulliparous Women in the private and public sectors. SAMJ 1990;78:130–2.Google Scholar
  9. 9.
    Sade RM. Introduction dangerous liaisons? Industry relations with health professionals. J Law Med Ethics. 2009;37(3):398–400.PubMedCrossRefGoogle Scholar
  10. 10.
    Fugh-Berman A, Ahari S. Following the script: how drug reps make friends and influence doctors. Plos Med. 2007;4(4):e150.PubMedCrossRefGoogle Scholar
  11. 11.
    Levinsky NG Sounding Board “The Doctors Master” NEngl J Med 1984;13:1573–75.Google Scholar
  12. 12.
    Pertinax. BMJ 1967.Google Scholar
  13. 13.
    Brownlee S. Overtreated: why too much medicine is making us sicker and poorer. New York: Bloomsbury; 2007.Google Scholar
  14. 14.
    Angell M. The truth about drug companies. New york: Random House; 2004.Google Scholar
  15. 15.
    Brownlee S. Overtreated. New York: Bloomsbury; 2008.Google Scholar
  16. 16.
    Leff B, Finucane TE. Gizmo idolatry. JAMA. 2008;299(15):1830–2.PubMedCrossRefGoogle Scholar
  17. 17.
    Himmelstein DU, Thorne D, et al. Medical bankruptcy in the United States, 2007: results of a national study. Am J Med. 2009;122(8):741–6.PubMedCrossRefGoogle Scholar
  18. 18.
    Johnson RW. South Africa’s brave new world. London: Penguin Books; 2010. pp. 186–93.Google Scholar
  19. 19.
    Paton C. Present dangers and future threats: some perverse incentives in the NHS reforms. BMJ. 1995;310:1245.PubMedCrossRefGoogle Scholar
  20. 20.
  21. 21.
    Jay W. A report to Governor Jeb Bush and the Sixth Judicial Circuit in the matter of Theresa Marie Schiavo. (2003) abstractappeal.com. Retrieved 2006-01-06. pp. 2, 8, 10.Google Scholar
  22. 22.
    Levy MM, Rappoport J, Lemeshow S, Chalfin DB, Phillips G, Danis M. Association between critical care physician management and patient mortality in the intensive care unit. Ann Intern Med. 2008;148(11):801–9.PubMedGoogle Scholar
  23. 23.
    Wiesner JB, York HF. Sci Am. 1964;211(4):27.CrossRefGoogle Scholar
  24. 24.
    Ingelfinger JF. Arrogance. N Engl J Med. 1980;303:1507–11.PubMedCrossRefGoogle Scholar
  25. 25.
    Marx D. Whack-a-mole: the price we pay for expecting perfection your side studios. ISBN-10: 0-615-28307-1.Google Scholar
  26. 26.
    Hobbs RJ. A managing maintenance error: a practical guide. Avalon: Ashgate Publishing; 2003.Google Scholar
  27. 27.
    Thomas S Kuhn. The Structure of Scientific Revolutions. University of Chicago Press Chicago - Library of Congress ISBN 0-226-45808-3 pp 10–22. Third edition; 1996.Google Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Private Practice - Bon Secours HospitalGalwayIreland

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