Abstract
Written for clinicians to remove their captivity by the dominant Western concepts of algorithms, evidence, protocols, guidelines, their ill effects, and the disturbance caused by them in the sane, simple clinically reasoned practice is discussed, while defending the clinical science of medicine. The power of technology is acknowledged and the surrender of the human mind and judgment to it is condemned. Serious consideration is raised as to whether more and more technology will solve or create more problems, that did not exist earlier.
Research methodologies, their great value and contribution to medicine, are duly emphasized, as well as interpretation and limitations. Information technology as a means and a must in clinical practice overall, and its significant interference that reduced efficient treatment, is explained in detail. Several of the future challenges of IT in the Indian health sector are also discussed. The chapter also presents a detailed note on the relationship and relevance of reductionism and holism.
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Notes
- 1.
In every place drugs are mentioned this will also include the investigation aspects regarding the drug’s excessive, unreasonable and ill effects. These practices today are best illustrated in the treatment of non-communicable diseases which occur in a conglomeration of diabetes, blood pressure, abnormal lipid profiles and kidney disorders and so on which continue to deteriorate, leading to increased risk.
- 2.
In 2007, an ingenious Indian doctor calculated that if all the monitoring parameters advised in all foreign guidelines for diabetes had to be followed for a year at a moderately priced private practice in a metropolis, it would cost INR 147,000 at the then rupee value. I have heard him speak in person. Like the guidelines mentioned above of whatever the veracity it underlines, the point that just too many of the recommendations from too many sources are taken too seriously and implemented without scant respect to the time, money, the relevance and benefit to the patient. All of it is a colossal waste.
- 3.
The only place full of only uncertainties today is quantum mechanics.
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Kelkar, S. (2021). The Western Model in Disease and Health Care Delivery. In: India’s Private Health Care Delivery. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-15-9778-7_8
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DOI: https://doi.org/10.1007/978-981-15-9778-7_8
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