David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
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Bioethics 18 (1):50-71 (2004)
Clinicians and policy makers the world over are embracing evidence-based medicine. The promise of EBM is to use summaries of research evidence to determine which healthcare interventions are effective and which are not, so that patients may benefit from effective interventions and be protected from useless or harmful ones. EBM provides an ostensibly rational and objective means of deciding whether or not an intervention should be provided on the basis of its effectiveness, in theory leading to fair and effective healthcare for all. In this paper I closely examine these claims from the perspective of healthcare for women, using relevant examples. I argue that the current processes of evidence-based medicine contain a number of biases against women. These biases occur in the production of the research that informs evidence-based medicine, in the methods used to analyse and synthesise the evidence, and in the application of EBM through the use of guidelines. Finally, the biomedical model of health that underpins most of the medical research used by EBM ignores the social and political context which contributes so much to the ill-health of women
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References found in this work BETA
Rebecca Dresser (1992). Wanted. Hastings Center Report 22 (1):24-29.
T. Hope (1995). Evidence Based Medicine and Ethics. Journal of Medical Ethics 21 (5):259-260.
Claudia Pagliari, Jeremy Grimshaw & Martin Eccles (2001). The Potential Influence of Small Group Processes on Guideline Development. Journal of Evaluation in Clinical Practice 7 (2):165-173.
Citations of this work BETA
Ian Kerridge (2010). Ethics and EBM: Acknowledging Bias, Accepting Difference and Embracing Politics. Journal of Evaluation in Clinical Practice 16 (2):365-373.
Katrina J. Hutchison & Wendy A. Rogers (2012). Challenging the Epistemological Foundations of EBM: What Kind of Knowledge Does Clinical Practice Require? Journal of Evaluation in Clinical Practice 18 (5):984-991.
Wendy Rogers & Angela Ballantyne (2008). When Is Sex-Specific Research Appropriate? International Journal of Feminist Approaches to Bioethics 1 (2):36 - 57.
Wendy Rogers & Angela Ballantyne (2008). Gender and Trust in Medicine: Vulnerabilities, Abuses, and Remedies. International Journal of Feminist Approaches to Bioethics 1 (1):48 - 66.
Belinda Bennett & Isabel Karpin (2008). Regulatory Options for Gender Equity in Health Research. International Journal of Feminist Approaches to Bioethics 1 (2):80 - 99.
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