Evidence-Based Medicine: A new tool for resource allocation?

Abstract
Evidence-Based Medicine (EBM) is defined as the conscious, and judicious use of current best evidence in making decisions about the care of individual patients. The greater the level of evidence the greater the grade of recommendation. This pioneering explicit concept of EBM is embedded in a particular view of medical practice namely the singular nature of the patient-physician relation and the commitment of the latter towards a specific goal: the treatment and the well being of his or her client. Nevertheless, in many European countries as well as the United States, this integration of the best evidence from systematic research with clinical expertise and patient values appears to be re-interpreted in light of the scarcity of healthcare resources. The purpose of this paper is double. First, to claim that from an ethical perspective EBM should be a guideline to clinical practice; and second, that in specific circumstances EBM might be a useful tool in macro-allocation of healthcare resources. Methodologically the author follows Norman Daniels' theory of democratic accountability to justify this assumption. That is, choices in healthcare must be accountable by democratic procedures. This perspective of distributive justice is responsible for the scope and limits of healthcare services. It follows that particular entitlements to healthcare — namely expensive innovative treatments and medicines —may be fairly restricted as long as this decision is socially and democratically accountable and imposed by financial restrictions of the system. In conclusion, the implementation of EBM, as long as it limits the access to drugs and treatments of unproven scientific results is in accordance with this perspective. The use of EBM is regarded as an instrument to facilitate the access of all citizens to a reasonable level of healthcare and to promote the efficiency of the system
Keywords Evidence-Based Medicine  priorities in healthcare
Categories (categorize this paper)
Reprint years 2004
DOI 10.1023/A:1025969303573
Options
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history
Request removal from index
Download options
Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 27,621
Through your library
References found in this work BETA

No references found.

Add more references

Citations of this work BETA

Add more citations

Similar books and articles
Perspectives on Evidence-Based Healthcare for Women.Maya J. Goldenberg - 2010 - Journal of Women's Health 19 (7):1235-1238.
Does Evidence-Based Medicine Apply to Psychiatry?Mona Gupta - 2007 - Theoretical Medicine and Bioethics 28 (2):103.
Mechanisms: What Are They Evidence for in Evidence-Based Medicine.Holly Andersen - 2012 - Journal of Evaluation in Clinical Practice 18 (5):992-999.
Whither Our Art? Clinical Wisdom and Evidence-Based Medicine.Malcolm Parker - 2002 - Medicine, Health Care and Philosophy 5 (3):273-280.
Evidence-Based Medicine Can't Be….Adam La Caze - 2008 - Social Epistemology 22 (4):353 – 370.
Evidence-Based Medicine Must Be ..A. la Caze - 2009 - Journal of Medicine and Philosophy 34 (5):509-527.
Psychiatry and Evidence-Based Psychiatry: A Distinction with a Difference.Mona Gupta - 2013 - Philosophy, Psychiatry, and Psychology 19 (4):309-312.
The Philosophy of Evidence-Based Medicine.Jeremy Howick - 2011 - Wiley-Blackwell, Bmj Books.
The Role of Basic Science in Evidence-Based Medicine.Adam la Caze - 2011 - Biology and Philosophy 26 (1):81-98.

Monthly downloads

Added to index

2010-08-31

Total downloads

11 ( #402,514 of 2,168,962 )

Recent downloads (6 months)

1 ( #346,364 of 2,168,962 )

How can I increase my downloads?

My notes
Sign in to use this feature


Discussion
Order:
There  are no threads in this forum
Nothing in this forum yet.

Other forums