Evidence based or person centered? An ontological debate

European Journal for Person Centered Healthcare 4 (2):421-429 (2016)
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Abstract

Evidence based medicine (EBM) is under critical debate, and person centered healthcare (PCH) has been proposed as an improvement. But is PCH offered as a supplement or as a replacement of EBM? Prima facie PCH only concerns the practice of medicine, while the contended features of EBM also include methods and medical model. I here argue that there are good philosophical reasons to see PCH as a radical alternative to the existing medical paradigm of EBM, since the two seem committed to conflicting ontologies. This paper aims to make explicit some of the most fundamental assumptions that motivate EBM and PCH, respectively, in order to show that the choice between them ultimately comes down to ontological preference. While EBM has a solid foundation in positivism, or what I here call Humeanism, PCH is more consistent with causal dispositionalism. I conclude that if there is a paradigmatic revolution on the way in medicine, it is first of all one of ontology.

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Rani Anjum
University of Tromsø (PhD)

Citations of this work

Causal Complexity and Causal Ontology of Health-Related Quality of Life Model.Tennn Hong-Ui - 2022 - Dissertation, National Yang Ming Chiao Tung University

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References found in this work

On the Plurality of Worlds.David K. Lewis - 1986 - Malden, Mass.: Wiley-Blackwell.
The Structure of Scientific Revolutions.Thomas S. Kuhn - 1962 - Chicago, IL: University of Chicago Press. Edited by Ian Hacking.
The Structure of Scientific Revolutions.Thomas Samuel Kuhn - 1962 - Chicago: University of Chicago Press. Edited by Otto Neurath.
A treatise of human nature.David Hume & A. D. Lindsay - 1977 - New York: Dutton. Edited by L. A. Selby-Bigge & P. H. Nidditch.

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