Friday, August 13, 2010
How Medicine Needs Critical Thinking Derived from Investigating Sex Differences
Clinical reasoning implications from evaluating sex differences is seen in evaluation of the literature (what applies to whom and when?); in tuning your ears for how people present to you with symptoms ('classic chest pain' vs fatigue); deciding on treatment (what is best for whom); avoiding complications and adverse effects and investigate unanswered question in science as well as discovering new ways to delivery better care and improve outcomes.
is a terrific resource. Congress authorizes the IOM to explore issues; they convene a panel of experts who deliberate for several years; these experts then report on all available evidence on a topic. In showing the impact of sex and health, the 2001 report entitled Exploring the Biological Contributions to Human Health: Does Sex Matter? responded with a yes, it does.
So, what do we mean by sex and gender health disparities?
Sex and Gender Health Disparities - evaluation of the unequal burdens of disease in morbidity ( dysfunction) and mortality (death) that result in unequal health outcomes.SGHD can occur amongst women ( e.g cardiac disease) or amongst men(osteoporosis)
And in sex/ gender medicine - we tend to focus on the context (not just a disease located within a patient) which is in concert with the the definition of comprehensive girls/women's health
Comprehensive Women's Healthcare- patient centered, whole patient care that includes the lifespan ( womb to tomb) and non-reproductive and reproductive healthcare within the context of her life and world. This comprehensive approach is useful for all patients, but Women's health is often framed as reproductive health only care -yet the reproductive span is shorter than non-reproductive.