Come scelgono i medici
Articolo di Paolo Cornaglia Ferraris su Recenti Progressi
Noi medici siamo convinti di prendere decisioni secondo logica. In realtà, siamo influenzati da preferenze irrazionali: rischi, tempi, ricompense, compromessi. Il rischio d’essere denunciati per colpe presunte alimenta la prescrizione di esami che si sanno essere inutili o perfino rischiosi; i tempi segnati dalle liste d’attesa scoraggiano prescrizioni appropriate eppure così difficili da ottenere; le ricompense fisse dello stipendio ospedaliero e quelle variabili della libera professione condizionano comportamenti e priorità; compromessi con regole, abitudini, rapporti professionali possono essere stressanti.
Inoltre, non abbiamo informazioni comparative complete sul valore – clinico oltre che economico – di farmaci, presidi, protesi e potremmo continuare; non assimiliamo né valutiamo tutti i risultati, né abbiamo tempo per fare una sintesi dei risultati della ricerca o leggere quelle di chi lo ha fatto per noi. La ricerca comparativa sull’efficacia è rara, e i dati d’utilizzo di farmaci e tecnologie nel mondo reale si basano su pregiudizi oppure su eccessiva fiducia nell’ultima novità. continua a leggere
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