David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 30 (2):171-175 (2004)
“Evidence based medicine” is often seen as a scientific tool for quality improvement, even though its application requires the combination of scientific facts with value judgments and the costing of different treatments. How this is done depends on whether we approach the problem from the perspective of individual patients, doctors, or public health administrators. Evidence based medicine exerts a fundamental influence on certain key aspects of medical professionalism. Since, when clinical practice guidelines are created, costs affect the content of EBM, EBM inevitably becomes a form of rationing and adopts a public health point of view. This challenges traditional professionalism in much the same way as managed care has done in the US. Here we chart some of these major philosophical issues and show why simple solutions cannot be found. The profession needs to pay more attention to different uses of EBM in order to preserve the good aspects of professionalism
|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
No references found.
Citations of this work BETA
Andrew Miles, Michael Loughlin & Andreas Polychronis (2008). Evidence‐Based Healthcare, Clinical Knowledge and the Rise of Personalised Medicine. Journal of Evaluation in Clinical Practice 14 (5):621-649.
Stephen G. Henry (2006). Recognizing Tacit Knowledge in Medical Epistemology. Theoretical Medicine and Bioethics 27 (3):187--213.
Monica Ortendahl (2008). Models Based on Value and Probability in Health Improve Shared Decision Making. Journal of Evaluation in Clinical Practice 14 (5):714-717.
Louise E. Parker, Mona J. Ritchie, JoAnn E. Kirchner & Richard R. Owen (2009). Balancing Health Care Evidence and Art to Meet Clinical Needs: Policymakers' Perspectives. Journal of Evaluation in Clinical Practice 15 (6):970-975.
Jesper Jerkert (2013). Jeremy Howick The Philosophy of Evidence‐Based Medicine.Wiley‐Blackwell & BMJ Books, 2011. Xiv + 229 Pp. ISBN 978‐1‐4051‐9667‐3 (Paperback). [REVIEW] Theoria 79 (2):180-186.
Similar books and articles
Mark A. Hall (1994). The Problems with Rule-Based Rationing. Journal of Medicine and Philosophy 19 (4):315-332.
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.
Sandra Tanenbaum (2012). Improving the Quality of Medical Care: The Normativity of Evidence-Based Performance Standards. Theoretical Medicine and Bioethics 33 (4):263-277.
Ron Morstyn (2010). How the Philosophy of Merleau- Ponty Can Help Us Understand the Gulf Between Clinical Experience and the Doctrine of Evidence-Based Psychotherapy. Australasian Psychiatry 18 ( 3):221–225.
Maxwell J. Mehlman (2012). Medical Practice Guidelines as Malpractice Safe Harbors: Illusion or Deceit? Journal of Law, Medicine & Ethics 40 (2):286-300.
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
Maya J. Goldenberg (2009). Iconoclast or Creed? Objectivism, Pragmatism, and the Hierarchy of Evidence. Perspectives in Biology and Medicine 52 (2):168-187.
Erica Zarkovich & R. E. G. Upshur (2002). The Virtues of Evidence. Theoretical Medicine and Bioethics 23 (4-5):403-412.
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.
Robyn Bluhm (2007). Clinical Trials as Nomological Machines: Implications for Evidence-Based Medicine. In Harold Kincaid Jennifer McKitrick (ed.), Establishing Medical Reality: Essays In The Metaphysics And Epistemology Of Biomedical Science. Springer
Søren Holm (1995). "Socialized Medicine", Resource Allocation and Two-Tiered Health Care – the Danish Experience. Journal of Medicine and Philosophy 20 (6):631-637.
Added to index2010-08-24
Total downloads7 ( #423,425 of 1,796,258 )
Recent downloads (6 months)3 ( #284,614 of 1,796,258 )
How can I increase my downloads?