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
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
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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
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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.
Jason Adam Wasserman (2014). On Art and Science: An Epistemic Framework for Integrating Social Science and Clinical Medicine. Journal of Medicine and Philosophy 39 (3):279-303.
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.
Justin M. List (2005). Histories of Mistrust and Protectionism: Disadvantaged Minority Groups and Human-Subject Research Policies. American Journal of Bioethics 5 (1):53 – 56.
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