Coordinating the norms and values of medical research, medical practice and patient worlds—the ethics of evidence based medicine in orphaned fields of medicine
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 30 (2):166-170 (2004)
Next SectionEvidence based medicine is rightly at the core of current medicine. If patients and society put trust in medical professional competency, and on the basis of that competency delegate all kinds of responsibilities to the medical profession, medical professionals had better make sure their competency is state of the art medical science. What goes for the ethics of clinical trials goes for the ethics of medicine as a whole: anything that is scientifically doubtful is, other things being equal, ethically unacceptable. This particularly applies to so called orphaned fields of medicine, those areas where medical research is weak and diverse, where financial incentives are lacking, and where the evidence regarding the aetiology and treatment of disease is much less clear than in laboratory and hospital based medicine. Examples of such orphaned fields are physiotherapy, psychotherapy, medical psychology, and occupational health, which investigate complex syndromes such as RSI, whiplash, chronic low back pain, and chronic fatigue syndrome. It appears that the primary ethical problem in this context is the lack of attention to the orphaned fields. Although we agree that this issue deserves more attention as a matter of potential injustice, we want to argue that, in order to do justice to the interplay of heterogeneous factors that is so typical of the orphaned fields, other ethical models than justice are required. We propose the coordination model as a window through which to view the important ethical issues which relate to the communication and interaction of scientists, health care workers, and patients
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
|Through your library||Configure|
Similar books and articles
Ingemar Nordin (1999). The Limits of Medical Practice. Theoretical Medicine and Bioethics 20 (2):105-123.
Maya J. Goldenberg (2010). Clinical Evidence and the Absent Body in Medical Phenomenology. International Journal of Feminist Approaches to Bioethiics 3 (1):43-71.
Maya J. Goldenberg (2010). Clinical Evidence and the Absent Body in Medical Phenomenology On the Need for a New Phenomenology of Medicine. International Journal of Feminist Approaches to Bioethics 3 (1):43-71.
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.
Stephen G. Henry (2006). Recognizing Tacit Knowledge in Medical Epistemology. Theoretical Medicine and Bioethics 27 (3):187--213.
A. Schwab (2012). Epistemic Humility and Medical Practice: Translating Epistemic Categories Into Ethical Obligations. Journal of Medicine and Philosophy 37 (1):28-48.
Edmund D. Pellegrino (1993). The Virtues in Medical Practice. Oxford University Press.
Franklin G. Miller & Howard Brody (2001). The Internal Morality of Medicine: An Evolutionary Perspective. Journal of Medicine and Philosophy 26 (6):581 – 599.
Joachim Widder (2004). The Origins of Medical Evidence: Communication and Experimentation. Medicine, Health Care and Philosophy 7 (1):99-104.
Michael H. Kottow (1999). Theoretical Aids in Teaching Medical Ethics. Medicine, Health Care and Philosophy 2 (3):225-229.
David C. Thomasma & Edmund D. Pellegrino (1981). Philosophy of Medicine as the Source for Medical Ethics. Theoretical Medicine and Bioethics 2 (1):5-11.
J. M. Little (1995). Humane Medicine. Cambridge University Press.
R. S. Downie (2007). Bioethics and the Humanities: Attitudes and Perceptions. Routledge-Cavendish.
Erica Zarkovich & R. E. G. Upshur (2002). The Virtues of Evidence. Theoretical Medicine and Bioethics 23 (4-5):403-412.
Sorry, there are not enough data points to plot this chart.
Added to index2010-08-24
Total downloads1 ( #301,352 of 1,004,658 )
Recent downloads (6 months)1 ( #64,617 of 1,004,658 )
How can I increase my downloads?