Can evidence-based medicine implicitly rely on current concepts of disease or does it have to develop its own definition?

Journal of Medical Ethics 33 (7):394-399 (2007)
Abstract
Decisions in healthcare are made against the background of cultural and philosophical definitions of disease, sickness and illness. These concepts or definitions affect both health policy and research , as well as individual encounters between patients and physicians . It is therefore necessary for evidence-based medicine to consider whether any of the definitions underlying research prior to the hierarchisation of knowledge are indeed compatible with its own epistemological principles
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