Journal of Bioethical Inquiry 4 (1):7-19 (2007)

The convergence of complementary and alternative medicine (CAM) and evidence-based medicine (EBM) is a prominent feature of healthcare in western countries, but it is currently undertheorised, and its implications have been insufficiently considered. Two models of convergence are described – the totally integrated evidence-based model (TI) and the multicultural-pluralistic model (MP). Both models are being incorporated into general medical practice. Against the background of the reasons for the increasing utilisation of CAM by the public and by general practitioners, TI-convergence is supported and MP-convergence is rejected. MP-convergence is epistemologically and clinically incoherent, and it cannot be regulated. It is also inconsistent with developments in the legal determination of the standard of care for both diagnosis/treatment and disclosure. These claims concerning MP-convergence are justified by the fact that science is not a member of the group of perspectives or world-views which postmodernism treats as equally valid, and this is especially important for healthcare.
Keywords 750403 Bioethics  Complementary and alternative medicine (CAM)   Evidence-based medicine (EBM)   Integrative medicine   Science   Postmodernism   Regulation   Standard of care   General practice  C1  321213 Human Bioethics
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DOI 10.1007/s11673-007-9031-z
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References found in this work BETA

Current Epistemological Problems in Evidence Based Medicine.R. E. Ashcroft - 2004 - Journal of Medical Ethics 30 (2):131-135.
Whither Our Art? Clinical Wisdom and Evidence-Based Medicine.Malcolm Parker - 2002 - Medicine, Health Care and Philosophy 5 (3):273-280.

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Citations of this work BETA

A Gentle Ethical Defence of Homeopathy.David Levy, Ben Gadd, Ian Kerridge & Paul A. Komesaroff - 2015 - Journal of Bioethical Inquiry 12 (2):203-209.
Rejoinder.Malcolm Parker - 2007 - Journal of Bioethical Inquiry 4 (1):29-31.

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