David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Women's Health 19 (7):1235-1238 (2010)
We live in an age of evidence-based healthcare, where the concept of evidence has been avidly and often uncritically embraced as a symbol of legitimacy, truth, and justice. By letting the evidence dictate healthcare decision making from the bedside to the policy level, the normative claims that inform decision making appear to be negotiated fairly—without subjectivity, prejudice, or bias. Thus, the term ‘‘evidence-based’’ is typically read in the health sciences as the empirically adequate standard of reasonable practice and a means for increasing certainty. Supporters believe that evidence-based medicine (EBM) can introduce rational order to the deliberative processes of healthcare decision making. It is perhaps puzzling, then, to come across critical perspectives (typically arising from the humanities and the more theory-driven social sciences) raising concerns about a seeming technogovernance being introduced by this deferral to the evidence where power interests can be obfuscated by way of technical resolve. The critics holding this minority view argue that technological solutions to problems of knowledge and practice cannot replace medicine’s normative content. Against EBM’s democratic leanings toward transparency and accountability, medical criteria alone cannot decide valueladen ethically charged decisions. This paper attempts to explain and evaluate this important debate in the philosophy of medicine, focusing specifically on the dispute over 'evidence-based women's health'.
|Keywords||Evidence-Based Medicine Women's Health Evidence-Based Women's Health|
|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
Helen Crowther, Wendy Lipworth & Ian Kerridge (2011). Evidence‐Based Medicine and Epistemological Imperialism: Narrowing the Divide Between Evidence and Illness. Journal of Evaluation in Clinical Practice 17 (5):868-872.
Similar books and articles
Maya J. Goldenberg (2012). Innovating Medical Knowledge: Undestanding Evidence-Based Medicine as a Socio-Medical Phenomenon. In Nikolaos Sitaras (ed.), Evidence-Based Medicine: Closer to Patients or Scientists? InTech Open Science.
Brian Hazelton Walsh (2010). The Spatialisation of Disease: Foucualt and Evidence-Based Medicine (Ebm). [REVIEW] Journal of Bioethical Inquiry 7 (1):31-42.
Maya J. Goldenberg (2009). Iconoclast or Creed? Objectivism, Pragmatism, and the Hierarchy of Evidence. Perspectives in Biology and Medicine 52 (2):168-187.
WendyRogers (2004). Evidence-Based Medicine and Women: Do the Principles and Practice of EBM Further Women's Health? Bioethics 18 (1):50–71.
Wendy A. Rogers (2002). Is There a Tension Between Doctors' Duty of Care and Evidence-Based Medicine? Health Care Analysis 10 (3):277-287.
Wendy Rogers (2004). Evidence-Based Medicine and Women: Do the Principles and Practice of EBM Further Women's Health? Bioethics 18 (1):50-71.
Maya J. Goldenberg (2006). On Evidence and Evidence-Based Medicine: Lessons From the Philosophy of Science. Social Science and Medicine 62 (11):2621-2632.
Eleonora Montuschi (2009). Questions of Evidence in Evidence-Based Policy. Axiomathes 19 (4):425-439.
Rui Nunes (2003). Evidence-Based Medicine: A New Tool for Resource Allocation? Medicine, Health Care and Philosophy 6 (3):297-301.
Simon A. Cole, Toward Evidence-Based Evidence: Supporting Forensic Knowledge Claims in the Post-Daubert Era.
Malcolm Parker (2002). Whither Our Art? Clinical Wisdom and Evidence-Based Medicine. Medicine, Health Care and Philosophy 5 (3):273-280.
Mona Gupta (2013). Psychiatry and Evidence-Based Psychiatry: A Distinction with a Difference. Philosophy, Psychiatry, and Psychology 19 (4):309-312.
Sandra Tanenbaum (2012). Improving the Quality of Medical Care: The Normativity of Evidence-Based Performance Standards. Theoretical Medicine and Bioethics 33 (4):263-277.
R. E. G. Upshur (2001). The Ethics of Alpha: Reflections on Statistics, Evidence and Values in Medicine. Theoretical Medicine and Bioethics 22 (6):565-576.
Added to index2012-11-14
Total downloads48 ( #42,646 of 1,692,596 )
Recent downloads (6 months)2 ( #108,676 of 1,692,596 )
How can I increase my downloads?