Toward Scientific Medicine

Authors: Miettinen, O.S.

  • A unique guide for the development of ever more scientific medicine
  • Scientific medicine is presented as being knowledge-based, not thinking- or evidence-based
  • The mantra of knowledge-based medicine leads to an innovative delineation of the nature of it
  •  Regarding the requisite research, correspondingly, a novel feature is objects design in it
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  • ISBN 978-3-319-01671-9
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  • ISBN 978-3-319-01670-2
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About this Textbook

Scientific medicine in Miettinen’s conception of it is very different from the two ideas about it that come to eminence in the 20th century.  To him, medicine is scientific to the extent that it has a rational theoretical framework and a knowledge-base from medical science.  He delineates the nature of that theoretical framework and of the research to develop the requisite knowledge for application in such a framework.  The knowledge ultimately needed is about diagnostic, etiognostic, and prognostic probabilities, and it necessarily is to be codified in the form of probability functions, embedded in practice-guiding expert systems.

                In these terms, today’s medicine still is mostly pre-scientific, and major innovations are needed within and around medicine for healthcare to get to be in tune with reasonable expectations about it in this Information Age.  Thus, while the leading cause of litigation for medical malpractice in the U.S. is failure to expeditiously and correctly diagnose the probability of myocardial infarction in a hospital’s emergency room, this book shows that a typical modern textbook of cardiology, just as one of medicine at large, imparts no knowledge about the diagnostic probabilities needed in this, and that the prevailing type of diagnostic research will not produce the requisite knowledge.  If the diagnostic pursuits in an ER would be guided by an emergency-room diagnostic expert system, this would guarantee expert diagnoses by all ER doctors.

                Academic leaders of medicine and medical researchers concerned to advance the knowledge-base of medicine will find a wealth of stimulus for thinking about the deficiencies of the prevailing knowledge culture in and surrounding medicine, and about the directions of the needed progress toward genuinely scientific medicine.

Reviews

From the reviews:

“This is a book for all educators of medical students and trainers of residents. … This book is profoundly thought-provoking. It clearly outlines the good and the less effective aspects of the current medical literature and research and offers great insights into how medical education could benefit from a course correction to encourage thinking on a wider epidemiological scale. … This is a valuable book for every teaching and training center library.” (Vincent F. Carr, Doody’s Book Reviews, March, 2014)

Table of contents (9 chapters)

  • The Daunting Needs for Knowledge

    Miettinen, O. S.

    Pages 3-10

  • The Necessary Forms of the Knowledge

    Miettinen, O. S.

    Pages 11-19

  • The Knowledge According to Its Source

    Miettinen, O. S.

    Pages 21-57

  • Needed Innovations of the Knowledge Culture

    Miettinen, O. S.

    Pages 61-75

  • Original Research for Scientific Diagnosis

    Miettinen, O. S.

    Pages 79-115

Buy this book

eBook $69.99
price for USA (gross)
  • ISBN 978-3-319-01671-9
  • Digitally watermarked, DRM-free
  • Included format: EPUB, PDF
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Hardcover $89.99
price for USA
  • ISBN 978-3-319-01670-2
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
Softcover $89.99
price for USA
  • ISBN 978-3-319-34633-5
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
Rent the ebook  
  • Rental duration: 1 or 6 month
  • low-cost access
  • online reader with highlighting and note-making option
  • can be used across all devices
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Bibliographic Information

Bibliographic Information
Book Title
Toward Scientific Medicine
Authors
Copyright
2014
Publisher
Springer International Publishing
Copyright Holder
Springer International Publishing Switzerland
eBook ISBN
978-3-319-01671-9
DOI
10.1007/978-3-319-01671-9
Hardcover ISBN
978-3-319-01670-2
Softcover ISBN
978-3-319-34633-5
Edition Number
1
Number of Pages
XVII, 183
Topics