{"title":"Racjonalne modele rozumowania klinicznego","authors":"Wojciech Rutkiewicz","doi":"10.7206/DEC.1733-0092.132","DOIUrl":null,"url":null,"abstract":"Debate regarding evidence based medicine in current state focuses on basic philosophical as-sumptions of paradigm announced in 1992 by EBM Working Group. One of the topic in this debate is clinical reasoning in light of medical decision-making. Polish literature still lacks of comprehensive presentation in this theoretical fi eld. In current article I present overview of models of clinical reasoning. I begin from the debate of rationality distinguishing two positions called meliorism and panglosianism. Next I proceed to elaboration of three models for clinical reasoning in context of meliorists position. It gives an opportunity to look closer for inferential rules of clinical decision-making and as a result may be precious perspective for future re-search and medical education.","PeriodicalId":37255,"journal":{"name":"Decyzje","volume":"1 1","pages":"77-102"},"PeriodicalIF":0.0000,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Decyzje","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7206/DEC.1733-0092.132","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Social Sciences","Score":null,"Total":0}
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Abstract
Debate regarding evidence based medicine in current state focuses on basic philosophical as-sumptions of paradigm announced in 1992 by EBM Working Group. One of the topic in this debate is clinical reasoning in light of medical decision-making. Polish literature still lacks of comprehensive presentation in this theoretical fi eld. In current article I present overview of models of clinical reasoning. I begin from the debate of rationality distinguishing two positions called meliorism and panglosianism. Next I proceed to elaboration of three models for clinical reasoning in context of meliorists position. It gives an opportunity to look closer for inferential rules of clinical decision-making and as a result may be precious perspective for future re-search and medical education.
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