Tuesday, July 27, 2010
More Health for the Care, continued
From the laboratory to the clinical setting to everyday life, data are gathered, analyzed, interpreted and organized to reach conclusions that shape medical care. The conclusions are reached in a context of biological variability, biological adaptability and behavioral uncertainty. Every step is subject to error, bias and ignorance. The unknown vastly exceeds the known and the boundary between the two moves slowly and erratically revealing contingent truths subject to additional unknowns. Advancement in science and medical care is at all times a work in progress and whether or not it is oversold, it is overbought. The paradox in medical care is that progress increases risk for untoward outcomes due to the increasing sophistication of technology, the advancing level of biomedical intervention and the demand for rapid deployment.