Improving the quality of medical care: the normativity of evidence-based performance standards
Theoretical Medicine and Bioethics 33 (4):263-277 (2012)
|Abstract||Poor quality medical care is sometimes attributed to physicians’ unwillingness to act on evidence about what works best. Evidence-based performance standards (EBPSs) are one response to this problem, and they are increasingly employed by health care regulators and payers. Evidence in this instance is judged according to the precepts of evidence-based medicine (EBM); it is probabilistic, and the randomized controlled trial (RCT) is the gold standard. This means that EBPSs suffer all the infirmities of EBM generally—well rehearsed problems with the external validity of research findings as well as the inferential leap from study results in the aggregate to individual patient care. These theoretical weaknesses promise to have a practical impact on the care of patients. To avoid this, EBPSs should be understood as guidelines indicative of average effectiveness rather than standards to be applied in every case.|
|Keywords||Quality of care Evidence-based performance standards Evidence-based medicine Probablism Average Treatment Effect|
|External links||This entry has no external links. Add one.|
|Through your library||Configure|
Similar books and articles
Wendy A. Rogers (2002). Is There a Tension Between Doctors' Duty of Care and Evidence-Based Medicine? Health Care Analysis 10 (3):277-287.
Maya J. Goldenberg (2012). Defining Quality of Care Persuasively. Theoretical Medicine and Bioethics 33 (4):243-261.
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). Journal of Bioethical Inquiry 7 (1):31-42.
Donna Dickenson & Paolo Vineis (2002). Evidence-Based Medicine and Quality of Care. Health Care Analysis 10 (3):243-259.
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).
Mona Gupta (2007). Does Evidence-Based Medicine Apply to Psychiatry? Theoretical Medicine and Bioethics 28 (2):103.
Maya J. Goldenberg (2010). Clinical Evidence and the Absent Body in Medical Phenomenology. International Journal of Feminist Approaches to Bioethiics 3 (1):43-71.
R. E. G. Upshur (2001). The Ethics of Alpha: Reflections on Statistics, Evidence and Values in Medicine. Theoretical Medicine and Bioethics 22 (6).
Koffi N. Maglo (2012). Group-Based and Personalized Care in an Age of Genomic and Evidence-Based Medicine: A Reappraisal. Perspectives in Biology and Medicine 55 (1):137-154.
Malcolm Parker (2002). Whither Our Art? Clinical Wisdom and Evidence-Based Medicine. Medicine, Health Care and Philosophy 5 (3):273-280.
Howard S. Rubenstein, Frances H. Miller, Sholem Postel & Hilda B. Evans (1983). Standards of Medical Care Based on Consensus Rather Than Evidence: The Case of Routine Bedrail Use for the Elderly. Journal of Law, Medicine and Ethics 11 (6):271-276.
Maya J. Goldenberg (2009). Iconoclast or Creed? Objectivism, Pragmatism, and the Hierarchy of Evidence. Perspectives in Biology and Medicine 52 (2):168-187.
Mats Hansson (2012). Where Should We Draw the Line Between Quality of Care and Other Ethical Concerns Related to Medical Registries and Biobanks? Theoretical Medicine and Bioethics 33 (4):313-323.
Sorry, there are not enough data points to plot this chart.
Added to index2012-10-18
Recent downloads (6 months)0
How can I increase my downloads?