Redundancy of roles by physicians in charge of paediatric diabetes is a barrier to flu immunisation

摘要

Only very lately has clinical decision making begun to free itself from the constraints of dogmatic teaching, tradition, personal beEefs and intuition to shift towards the deliberate and'artful application of systematically analysed results of scientific research'1. Evidence-based medicine (EBM) is a very recent concept. Had it been practised at the end of the 15th century, at a time when neither SalvarsanND nor penicillin were available, hundreds of thousands of people would have been spared the noxious effects of mercury derivatives that were administered for more than 400 years for treatment of syphilis under the form of pills, potions, ointments, fumigations, injections and every other conceivable galenical formulation.