Clinical practice guidelines were initially developed within the context of evidence-based
medicine with the goal of putting medical research findings into practice. However physicians
do not always follow them even when they seem to apply to the particular patient they have to
treat. This phenomenon known as clinical inertia represents a significant obstacle to the
efficiency of care and a major public health problem the extent of which is demonstrated in
this book. An analysis of its causes shows that it stems from a discrepancy between the
objective essentially statistical nature of evidence-based medicine on the one hand and the
physician's own complex subjective view (referred to here as medical reason) on the other.
This book proposes a critique of medical reason that may help to reconcile the principles of
evidence-based medicine and individual practice. The author is a diabetologist and Professor of
Endocrinology Diabetology and Metabolic Diseases at Paris 13 University. He has authored
several books including one to be published by Springer (Philosophy and Medicine series) under
the title: The Mental Mechanisms of Patient Adherence to Long Term Therapies Mind and Care.
Diabetology and Metabolic Diseases at the Paris 13-University. He has also published Pourquoi
Se soigne-t-on Enquête sur la rationalité morale de l'observance (2007) Clinique de
l'Observance L'Exemple des diabètes (2006) and Une théorie du soin Souci et amour face à la
maladie (2010). An English adaptation of the first book is published by Springer (Philosophy
and Medicine) under the title: The Mental Mechanisms of Patient Adherence to Long Term
Therapies Mind and Care.
