David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
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
|Keywords||No keywords specified (fix it)|
|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
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.
Similar books and articles
WendyRogers (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 (2010). Perspectives on Evidence-Based Healthcare for Women. Journal of Women's Health 19 (7):1235-1238.
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.
Maya J. Goldenberg (2006). On Evidence and Evidence-Based Medicine: Lessons From the Philosophy of Science. Social Science and Medicine 62 (11):2621-2632.
Malcolm Parker (2002). Whither Our Art? Clinical Wisdom and Evidence-Based Medicine. Medicine, Health Care and Philosophy 5 (3):273-280.
Holly Andersen (2012). Mechanisms: What Are They Evidence for in Evidence-Based Medicine. Journal of Evaluation in Clinical Practice 18 (5):992-999.
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
Mona Gupta (2007). Does Evidence-Based Medicine Apply to Psychiatry? Theoretical Medicine and Bioethics 28 (2):103.
Maya J. Goldenberg (2009). Iconoclast or Creed? Objectivism, Pragmatism, and the Hierarchy of Evidence. Perspectives in Biology and Medicine 52 (2):168-187.
A. la Caze (2009). Evidence-Based Medicine Must Be .. Journal of Medicine and Philosophy 34 (5):509-527.
Wendy L. McGuire (2005). Beyond EBM: New Directions for Evidence-Based Public Health. Perspectives in Biology and Medicine 48 (4):557-569.
Adam La Caze (2008). Evidence-Based Medicine Can't Be…. Social Epistemology 22 (4):353 – 370.
Added to index2010-09-01
Total downloads15 ( #241,352 of 1,907,046 )
Recent downloads (6 months)5 ( #162,115 of 1,907,046 )
How can I increase my downloads?