David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Perspectives in Biology and Medicine 52 (2):168-187 (2009)
Because “evidence” is at issue in evidence-based medicine (EBM), the critical responses to the movement have taken up themes from post-positivist philosophy of science to demonstrate the untenability of the objectivist account of evidence. While these post-positivist critiques seem largely correct, I propose that when they focus their analyses on what counts as evidence, the critics miss important and desirable pragmatic features of the evidence-based approach. This article redirects critical attention toward EBM’s rigid hierarchy of evidence as the culprit of its objectionable epistemic practices. It reframes the EBM discourse in light of a distinction between objectivist and pragmatic epistemology, which allows for a more nuanced analysis of EBM than previously offered: one that is not either/or in its evaluation of the decision-making technology as either iconoclastic or creedal.
|Keywords||Evidence Evidence-based medicine philosophy of medicine medical epistemology|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Jonathan Fuller (2013). Rhetoric and Argumentation: How Clinical Practice Guidelines Think. Journal of Evaluation in Clinical Practice 19 (3):433-441.
Luis J. Flores (2015). Therapeutic Inferences for Individual Patients. Journal of Evaluation in Clinical Practice 21 (3):440-447.
Mark R. Tonelli (2009). A Late and Shifting Foundation: A Commentary on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009) Cancer Control, 16, 158–168. [REVIEW] Journal of Evaluation in Clinical Practice 15 (6):907-909.
Joachim P. Sturmberg (2009). EBM: A Narrow and Obsessive Methodology That Fails to Meet the Knowledge Needs of a Complex Adaptive Clinical World: A Commentary on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009) Cancer Control, 16, 158–168. [REVIEW] Journal of Evaluation in Clinical Practice 15 (6):917-923.
Shashi S. Seshia, Michael Makhinson & G. Bryan Young (2014). Evidence-Informed Person-Centred Health Care : Are ‘Cognitive Biases Plus’ Underlying the EBM Paradigm Responsible for Undermining the Quality of Evidence? Journal of Evaluation in Clinical Practice 20 (6):748-758.
Similar books and articles
Mona Gupta (2007). Does Evidence-Based Medicine Apply to Psychiatry? Theoretical Medicine and Bioethics 28 (2):103.
A. la Caze (2009). Evidence-Based Medicine Must Be .. Journal of Medicine and Philosophy 34 (5):509-527.
Adam La Caze (2008). Evidence-Based Medicine Can't Be…. Social Epistemology 22 (4):353 – 370.
Wendy Lipworth, Stacy M. Carter & Ian Kerridge (2008). The “Ebm Movement”: Where Did It Come From, Where is It Going, and Why Does It Matter? Social Epistemology 22 (4):425 – 431.
Ian Kerridge, Stacy M. Carter & Wendy Lipworth (2008). The “EBM Movement”: Where Did It Come From, Where is It Going, and Why Does It Matter? Social Epistemology 22 (4):425-431.
Brian Hazelton Walsh (2010). The Spatialisation of Disease: Foucualt and Evidence-Based Medicine (Ebm). [REVIEW] Journal of Bioethical Inquiry 7 (1):31-42.
Adam la Caze (2011). The Role of Basic Science in Evidence-Based Medicine. Biology and Philosophy 26 (1):81-98.
John Worrall (2010). Evidence: Philosophy of Science Meets Medicine. Journal of Evaluation in Clinical Practice 16 (2):356-362.
Maya J. Goldenberg (2006). On Evidence and Evidence-Based Medicine: Lessons From the Philosophy of Science. Social Science and Medicine 62 (11):2621-2632.
Added to index2009-05-15
Total downloads618 ( #1,121 of 1,793,012 )
Recent downloads (6 months)92 ( #5,247 of 1,793,012 )
How can I increase my downloads?