Journal of Medical Ethics 30 (2):120-121 (2004)
Evidence based medicine has much to offer, but a great deal remains to be done to create a better understanding of what it can and cannot do.The term EBM , as we use it nowadays, was introduced in 1992 by the same group of people who, years before, founded the discipline called “Clinical epidemiology” .1 CE stemmed essentially from the idea of adapting and expanding epidemiological methods to medical and health care decision making; CE was in fact defined as “ the discipline dealing with the study of the occurrence of medical decisions in relation to their determinants”.1CE has been very successful in illustrating new ways of teaching medicine and training health professionals, and has positioned itself around the notion that “critical appraisal skills” are yet another set of essential abilities which—in addition to the interpersonal, diagnostic, and prognostic skills—a good doctor should master. An important by product of CE was documentation which showed that much of the available evidence on diagnosis, prognosis, and treatment of diseases was of poor methodological quality and quite often of dubious transferability to everyday clinical practice.This led to a strong call for improving the scientific basis of clinical practice, which was seen as too often dominated by practices of unproven effectiveness. This was the background for the 1992 Journal of the American Medical Association article that first used the term “evidence based medicine”.2In essence, proponents of EBM said that “all medical action of diagnosis, prognosis, and therapy should rely on solid quantitative evidence based on the best of …
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
References found in this work BETA
No references found.
Citations of this work BETA
On Value-Judgements and Ethics in Health Technology Assessment.Bjørn Hofmann - 2005 - Poiesis and Praxis 3 (4):277-295.
Similar books and articles
The Nature of Evidence in Evidence-Based Medicine: Guest Editors' Introduction.Maya J. Goldenberg, Kirstin Borgerson & Robyn Bluhm - 2009 - Perspectives in Biology and Medicine 52 (2):164-167.
Innovating Medical Knowledge: Undestanding Evidence-Based Medicine as a Socio-Medical Phenomenon.Maya J. Goldenberg - 2012 - In Nikolaos Sitaras (ed.), Evidence-Based Medicine: Closer to Patients or Scientists? InTech Open Science.
The Virtues of Evidence.Erica Zarkovich & R. E. G. Upshur - 2002 - Theoretical Medicine and Bioethics 23 (4-5):403-412.
Toward Evidence-Based Evidence: Supporting Forensic Knowledge Claims in the Post-Daubert Era.Simon A. Cole - unknown
Is There a Tension Between Doctors' Duty of Care and Evidence-Based Medicine?Wendy A. Rogers - 2002 - Health Care Analysis 10 (3):277-287.
Clinical Intuition Versus Statistics: Different Modes of Tacit Knowledge in Clinical Epidemiology and Evidence-Based Medicine.Hillel D. Braude - 2009 - Theoretical Medicine and Bioethics 30 (3):181-198.
From Evidence-Based Medicine to Marketing-Based Medicine: Evidence From Internal Industry Documents. [REVIEW]Glen I. Spielmans & Peter I. Parry - 2010 - Journal of Bioethical Inquiry 7 (1):13-29.
Evidence Based Medicine: Editors' Overview and Introduction.Kirstin Borgerson & Robyn Bluhm - 2005 - Perspectives in Biology and Medicine 48 (4):475-476.
Argumentation and Evidence.R. E. G. Upshur & Errol Colak - 2003 - Theoretical Medicine and Bioethics 24 (4):283-299.
Evidence: Philosophy of Science Meets Medicine.John Worrall - 2010 - Journal of Evaluation in Clinical Practice 16 (2):356-362.
Iconoclast or Creed? Objectivism, Pragmatism, and the Hierarchy of Evidence.Maya J. Goldenberg - 2009 - Perspectives in Biology and Medicine 52 (2):168-187.
Evidence-Based Medicine, Opinion-Based Medicine, and Real-World Medicine.John R. Hampton - 2002 - Perspectives in Biology and Medicine 45 (4):549-568.
Valuing Evidence: Bias and the Evidence Hierarchy of Evidence-Based Medicine.Kirstin Borgerson - 2009 - Perspectives in Biology and Medicine 52 (2):218-233.
Clinical Evidence and the Absent Body in Medical Phenomenology.Maya J. Goldenberg - 2010 - International Journal of Feminist Approaches to Bioethiics 3 (1):43-71.
Added to index2010-08-24
Total downloads3 ( #704,312 of 2,177,961 )
Recent downloads (6 months)1 ( #317,206 of 2,177,961 )
How can I increase my downloads?