Sensible medicine is an approach to treatment that seeks a balance along the spectrum of the strength of evidence and the pace of knowledge translation. On one hand, a hawkish interventionist has little doubt about the effectiveness of a new treatment and rapidly adopts it into practice. There is a tendency to favor adoption of the new, acceptance of less rigor in research methods and results, and a glance away from subconscious biases. This contrasts with the medical nihilist who is highly skeptical of new evidence and hopes to intervene even less. The medical nihilist is certain of the futility of treatment, ineffectiveness of most medications, and corrupting influence of financial incentives. In the middle is a sensible approach, which acknowledges that some interventions are effective but, perhaps, confidence should be tempered. With sensible medicine, the translation of knowledge to the bedside is appropriately calibrated to the rigor and reasoning of the available evidence and the severity of the outcome to be avoided.
Tracking America’s vaccine rollout
Bloomberg has been tracking America’s Covid-19 vaccine rollout, stating that an average of 1.7 million doses are being recorded every day. As of March 1st, the number of doses was in the region of 2.4 million. So far, 75 million doses have been administered across the country, 22.7 for every 100 people.
Demographics affect healthcare outcomes
Demographic shifts and societal changes are intensifying pressures on health systems and demanding new directions in the delivery of healthcare. We are getting older. Ageing populations in both emerging and developed nations are driving up the demand for healthcare. According to the United Nations, the world’s population is expected to increase by one billion people […]