Decision Making In The Medical Metaphor

Video: Decision Making In The Medical Metaphor

Video: Decision Making In The Medical Metaphor
Video: Decision Making in Healthcare - Part 1 2024, April
Decision Making In The Medical Metaphor
Decision Making In The Medical Metaphor
Anonim

The more I study the topic of decision-making, the more I am amazed at how developed the culture of decision-making in the medical environment is. All the same, the closeness to life and death affects. The truth here, of course, can be "blabbed". But this is still more difficult than in many other professional areas. Because the leg is eventually either amputated, or in place. While in business, especially bureaucratic, it is so easy to manipulate numbers: "Look, from year to year the amputation of our leg is decreasing steadily by 5%!"

Respect for probability. In the field of business or personal consulting, specialists often (not always, but often) do not sell expertise, but some other resource. For example, a resource of calmness. (“Experts with persons radiating optimism and confidence entered the room, and MacBooks, bought on credit, instantly energized those present with the energy of egregors of integrity and perfectionism named after Steve Jobs”). Accordingly, customers do not seem to pay to make the situation clearer. And not for the fact that someone was corny with them at the moment when they have to face the unpleasant truth about their own business. Sometimes clients simply pay to have their anxious muscles relax for a while. Well, it's like going to a masseur.

While no self-respecting gastroenterologist or oncologist will say to a patient: “My dear, here in New York, already last month, one doctor found a new medicine, three patients recovered, I’ll tell you a business case, and in general, come to my seminar, customer discount for you. " Because such speeches translate a self-respecting doctor into a status you yourself can think of who. Instead, within the medical environment, relative, percentage probabilities are often modestly operated. "According to extensive quantitative studies, the survival rate is increased by 5%." "The likelihood of the disease returning is reduced by 10%." "Let's try this combination of treatments and look at the response of the body."

Instant feedback. Officially, among doctors, it is not customary to criticize a colleague's work. In the same way, as in the scientific community, the author never writes an article in the first person singular. Not "I", but only "we". Again, because no one undertakes to personally guarantee recovery, no one undertakes to officially condemn the decisions of another. That's the same.

Daniel Kahneman, a renowned psychologist and winner of the Nobel Prize in Economics, warns: trust the forecasts of only those experts who, due to the specifics of their profession, receive instant feedback in response to their actions. Nurses, firefighters. In the field of advertising professions, these are specialists who are engaged in online advertising placement. But forecasts regarding specific future events, and not general trends from, say, political scientists and financial consultants are a big question. Six months later, when the events begin to manifest themselves, they themselves will not remember what they were sure of, and what they doubted about, or simply added for a catchphrase, carried away by the conversation.

Respect for protocols and test results. Of course, it is terribly interesting to work in the humanities, which are just being formed, and which, over and over again, force philosophers to revise the very criteria of scientificity. Psychology, behavioral economics. But sometimes the habit of reinventing everything from scratch seems to play a cruel joke on us. It does not hurt to adopt from more conservative doctors respect for international protocols and agreements of the international community. Sometimes it is enough not to rely on the need for intellectual self-expression or the ironic attitude towards predecessors, which the postmodern man so exalts. Sometimes it is enough just to undergo a course of treatment on the points that the world community has somehow agreed on over the past hundred years. Get tested. And make sure you're healthy.

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