Evidence based medicine and justice: a framework for looking at the impact of EBM upon vulnerable or disadvantaged groups
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 30 (2):141-145 (2004)
This article examines the implicit promises of fairness in evidence based medicine , namely to avoid discrimination through objective processes, and to distribute effective treatments fairly. The relationship between EBM and vulnerable groups is examined. Several aspects of EBM are explored: the way evidence is created , and the way evidence is applied in clinical care and health policy. This analysis suggests that EBM turns our attention away from social and cultural factors that influence health and focuses on a narrow biomedical and individualistic model of health. Those with the greatest burden of ill health are left disenfranchised, as there is little research that is relevant to them, there is poor access to treatments, and attention is diverted away from activities that might have a much greater impact on their health
|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
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.
Helen Crowther, Wendy Lipworth & Ian Kerridge (2011). Evidence‐Based Medicine and Epistemological Imperialism: Narrowing the Divide Between Evidence and Illness. Journal of Evaluation in Clinical Practice 17 (5):868-872.
Similar books and articles
Mona Gupta (2007). Does Evidence-Based Medicine Apply to Psychiatry? Theoretical Medicine and Bioethics 28 (2):103.
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.
Maya J. Goldenberg (2009). Iconoclast or Creed? Objectivism, Pragmatism, and the Hierarchy of Evidence. Perspectives in Biology and Medicine 52 (2):168-187.
Adam la Caze (2011). The Role of Basic Science in Evidence-Based Medicine. Biology and Philosophy 26 (1):81-98.
A. la Caze (2009). Evidence-Based Medicine Must Be .. Journal of Medicine and Philosophy 34 (5):509-527.
Brian Hazelton Walsh (2010). The Spatialisation of Disease: Foucualt and Evidence-Based Medicine (Ebm). [REVIEW] Journal of Bioethical Inquiry 7 (1):31-42.
Adam La Caze (2008). Evidence-Based Medicine Can't Be…. Social Epistemology 22 (4):353 – 370.
Maya J. Goldenberg (2006). On Evidence and Evidence-Based Medicine: Lessons From the Philosophy of Science. Social Science and Medicine 62 (11):2621-2632.
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.
Sandra Tanenbaum (2012). Improving the Quality of Medical Care: The Normativity of Evidence-Based Performance Standards. Theoretical Medicine and Bioethics 33 (4):263-277.
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.
Jeremy Howick (2011). The Philosophy of Evidence-Based Medicine. Wiley-Blackwell, Bmj Books.
John Worrall (2010). Evidence: Philosophy of Science Meets Medicine. Journal of Evaluation in Clinical Practice 16 (2):356-362.
Added to index2010-08-24
Total downloads4 ( #288,602 of 1,410,004 )
Recent downloads (6 months)1 ( #176,758 of 1,410,004 )
How can I increase my downloads?