Results for 'evidence‐based medicine'

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  1. Corroborating Evidence‐Based Medicine.Alexander Mebius - 2014 - Journal of Evaluation in Clinical Practice 20 (6):915-920.
    Proponents of evidence-based medicine have argued convincingly for applying this scientific method to medicine. However, the current methodological framework of the EBM movement has recently been called into question, especially in epidemiology and the philosophy of science. The debate has focused on whether the methodology of randomized controlled trials provides the best evidence available. This paper attempts to shift the focus of the debate by arguing that clinical reasoning involves a patchwork of evidential approaches and that the emphasis (...)
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  2.  86
    Evidence‐Based Medicine Can’T Be….Adam La Caze - 2008 - Social Epistemology 22 (4):353 – 370.
    Evidence-based medicine (EBM) puts forward a hierarchy of evidence for informing therapeutic decisions. An unambiguous interpretation of how to apply EBM's hierarchy has not been provided in the clinical literature. However, as much as an interpretation is provided proponents suggest a categorical interpretation. The categorical interpretation holds that all the results of randomised trials always trump evidence from lower down the hierarchy when it comes to informing therapeutic decisions. Most of the critical replies to EBM react to this interpretation. (...)
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  3. The Philosophy of Evidence-Based Medicine.Jeremy Howick - 2011 - Wiley-Blackwell, Bmj Books.
    The philosophy of evidence-based medicine -- What is EBM? -- What is good evidence for a clinical decision? -- Ruling out plausible rival hypotheses and confounding factors : a method -- Resolving the paradox of effectiveness : when do observational studies offer the same degree of evidential support as randomized trials? -- Questioning double blinding as a universal methodological virtue of clinical trials : resolving the Philip's paradox -- Placebo controls : problematic and misleading baseline measures of effectiveness -- (...)
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  4.  34
    Evidence-Based Medicine, Case-Based Medicine; Scientific Medicine, Quasi-Scientific Medicine. Commentary on Tonelli (2006), Integrating Evidence Into Clinical Practice: An Alternative to Evidence-Based Approaches. Journal of Evaluation in Clinical Practic.Olli S. Miettinen - 2006 - Journal of Evaluation in Clinical Practice 12 (3):260-264.
    In this issue of Journal of Evaluation in Clinical Practice, Tonelli criticizes the ‘philosophy’ of the evidence‐based medicine (EBM) movement and advocates a ‘case‐based’ or ‘casuistic’ alternative to EBM – I shall call this case‐based medicine, CBM. -/- Here, I summarize Tonelli’s article, comment on it critically, and then proceed to advocate commitment to knowledge‐based medicine instead. More specifically, I advocate commitment to scientific medicine and to its precursor, quasi‐scientific medicine – to efforts to (...)
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  5.  27
    Evidence‐Based Medicine in General Practice: Beliefs and Barriers Among Australian GPs.Jane M. Young & Jeanette E. Ward - 2001 - Journal of Evaluation in Clinical Practice 7 (2):201-210.
  6. What Evidence in Evidence-Based Medicine?John Worrall - 2002 - Proceedings of the Philosophy of Science Association 2002 (3):S316-S330.
    Evidence-Based Medicine is a relatively new movement that seeks to put clinical med- icine on a firmer scientific footing. I take it as uncontroversial that medical practice should be based on best evidence-the interesting questions concern the details. This paper tries to move towards a coherent and unified account of best evidence in medicine, by exploring in particular the EBM position on RCTs (randomized controlled trials).
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  7.  91
    Evidence-Based Medicine Must Be ..A. La Caze - 2009 - Journal of Medicine and Philosophy 34 (5):509-527.
    Proponents of evidence-based medicine (EBM) provide the “hierarchy of evidence” as a criterion for judging the reliability of therapeutic decisions. EBM's hierarchy places randomized interventional studies (and systematic reviews of such studies) higher in the hierarchy than observational studies, unsystematic clinical experience, and basic science. Recent philosophical work has questioned whether EBM's special emphasis on evidence from randomized interventional studies can be justified. Following the critical literature, and in particular the work of John Worrall, I agree that many of (...)
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  8.  7
    Evidence‐Based Medicine—Not a Panacea for the Problems of a Complex Adaptive World.Joachim P. Sturmberg - 2019 - Journal of Evaluation in Clinical Practice 25 (5):706-716.
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  9.  55
    Evidence-Based Medicine and Power Shifts in Health Care Systems.Rein Vos, Rob Houtepen & Klasien Horstman - 2002 - Health Care Analysis 10 (3):319-328.
    It is important and urgent to question therelationship between evidence-based medicineand power shifts in health care systems.Although definitions of EBM are phrased as ascientific approach to medicine, EBM is anormative concept: it aims to improve medicineand health care. Both proponents and opponentsuse a normative concept. More particularly,they provide particular views on positions,responsibilities, possibilities, norms andrelationships between professionals, patientgroups, governments and other parties in healthcare and society. From this perspective, wewant to analyse the role of EBM in modernwestern societies. By (...)
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  10.  32
    What Evidence in Evidence‐Based Medicine?John Worrall - 2002 - Philosophy of Science 69 (S3):S316-S330.
    Evidence-Based Medicine is a relatively new movement that seeks to put clinical medicine on a firmer scientific footing. I take it as uncontroversial that medical practice should be based on best evidence—the interesting questions concern the details. This paper tries to move towards a coherent and unified account of best evidence in medicine, by exploring in particular the EBM position on RCTs.
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  11.  47
    The Evidence‐Based Medicine Model of Clinical Practice: Scientific Teaching or Belief‐Based Preaching?Cathy Charles, Amiram Gafni & Emily Freeman - 2011 - Journal of Evaluation in Clinical Practice 17 (4):597-605.
  12.  43
    Evidence-Based Medicine: Requiescat in Pace? A Commentary on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009)Cancer Control, 16, 158-168. [REVIEW]Andrew Miles - 2009 - Journal of Evaluation in Clinical Practice 15 (6):924-929.
  13.  21
    Evidence Based Medicine and Justice: A Framework for Looking at the Impact of EBM Upon Vulnerable or Disadvantaged Groups.W. A. Rogers - 2004 - Journal of Medical Ethics 30 (2):141-145.
    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 (...)
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  14. 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.
    While much excitement has been generated surrounding evidence-based medicine, internal documents from the pharmaceutical industry suggest that the publicly available evidence base may not accurately represent the underlying data regarding its products. The industry and its associated medical communication firms state that publications in the medical literature primarily serve marketing interests. Suppression and spinning of negative data and ghostwriting have emerged as tools to help manage medical journal publications to best suit product sales, while disease mongering and market segmentation (...)
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  15.  5
    Has Evidence-Based Medicine Ever Been Modern? A Latour-Inspired Understanding of a Changing EBM.Sietse Wieringa, Eivind Engebretsen, Kristin Heggen & Trish Greenhalgh - 2017 - Journal of Evaluation in Clinical Practice 23 (5):964-970.
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  16. How Evidence‐Based Medicine is Failing Due to Biased Trials and Selective Publication.Susanna Every‐Palmer & Jeremy Howick - 2014 - Journal of Evaluation in Clinical Practice 20 (6):908-914.
  17.  28
    Evidence‐Based Medicine and Epistemological Imperialism: Narrowing the Divide Between Evidence and Illness.Helen Crowther, Wendy Lipworth & Ian Kerridge - 2011 - Journal of Evaluation in Clinical Practice 17 (5):868-872.
    Evidence-based medicine has been rapidly and widely adopted because it claims to provide a method for determining the safety and efficacy of medical therapies and public health interventions more generally. However, as others have noted, EBM may be riven through with cultural bias, both in the generation of evidence and in its translation. We suggest that technological and scientific advances in medicine accentuate and entrench these cultural biases, to the extent that they may invalidate the evidence we have (...)
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  18.  19
    Evidence‐Based Medicine, Guidelines, Personality Types, Relatives and Absolutes.Philip D. Welsby - 2002 - Journal of Evaluation in Clinical Practice 8 (2):163-166.
  19.  9
    Evidence‐Based Medicine as Science.Joseph Vere & Barry Gibson - 2019 - Journal of Evaluation in Clinical Practice 25 (6):997-1002.
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  20.  29
    Evidence Based Medicine Guidelines: A Solution to Rationing or Politics Disguised as Science?S. I. Saarni - 2004 - Journal of Medical Ethics 30 (2):171-175.
    “Evidence based medicine” is often seen as a scientific tool for quality improvement, even though its application requires the combination of scientific facts with value judgments and the costing of different treatments. How this is done depends on whether we approach the problem from the perspective of individual patients, doctors, or public health administrators. Evidence based medicine exerts a fundamental influence on certain key aspects of medical professionalism. Since, when clinical practice guidelines are created, costs affect the content (...)
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  21.  22
    Evidence-Based Medicine and Quality of Care.Donna Dickenson & Paolo Vineis - 2002 - Health Care Analysis 10 (3):243-259.
    In this paper we set out to examine thearguments for and against the claim thatEvidence-Based Medicine (EBM) will improve thequality of care. In particular, we examine thefollowing issues.
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  22.  25
    Evidence‐Based Medicine Beyond the Bedside: Keeping an Eye on Context.Jon C. Tilburt - 2008 - Journal of Evaluation in Clinical Practice 14 (5):721-725.
  23. On Evidence and Evidence-Based Medicine: Lessons From the Philosophy of Science.Maya J. Goldenberg - 2006 - Social Science and Medicine 62 (11):2621-2632.
    The evidence-based medicine (EBM) movement is touted as a new paradigm in medical education and practice, a description that carries with it an enthusiasm for science that has not been seen since logical positivism flourished (circa 1920–1950). At the same time, the term ‘‘evidence-based medicine’’ has a ring of obviousness to it, as few physicians, one suspects, would claim that they do not attempt to base their clinical decision-making on available evidence. However, the apparent obviousness of EBM can (...)
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  24.  37
    Evidence‐Based Medicine: The Need for a New Definition.S. Buetow & T. Kenealy - 2000 - Journal of Evaluation in Clinical Practice 6 (2):85-92.
  25.  8
    Evidence‐Based Medicine. The Good the Bad and the Ugly. A Clinician's Perspective.Kumanan Wilson - 2010 - Journal of Evaluation in Clinical Practice 16 (2):398-400.
  26.  31
    Evidence‐Based Medicine: Why All the Fuss? This is Why.A. Miles, P. Bentley, A. Polychronis & J. Grey - 1997 - Journal of Evaluation in Clinical Practice 3 (2):83-86.
  27.  6
    Evidence‐Based Medicine: A Cornerstone for Clinical Care but Not for Quality Improvement.Shawn Mondoux & Kaveh G. Shojania - 2019 - Journal of Evaluation in Clinical Practice 25 (3):363-368.
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  28.  36
    Evidence‐Based Medicine Training in a Resource‐Poor Country, the Importance of Leveraging Personal and Institutional Relationships.Cristina Tomatis, Claudia Taramona, Emiliana Rizo-Patrón, Fiorela Hernández, Patricia Rodríguez, Alejandro Piscoya, Elsa Gonzales, Eduardo Gotuzzo, Gustavo Heudebert, Robert M. Centor & Carlos A. Estrada - 2011 - Journal of Evaluation in Clinical Practice 17 (4):644-650.
  29.  23
    Evidence‐Based Medicine: A Kuhnian Perspective of a Transvestite Non‐Theory.Joaquim S. Couto Md - 1998 - Journal of Evaluation in Clinical Practice 4 (4):267-275.
  30.  18
    Beyond Evidence-Based Medicine: Bridge-Building a Medicine of Meaning.S. Buetow - 2002 - Journal of Evaluation in Clinical Practice 8 (2):103-108.
    Contesting that a debate on evidence-based health care has taken place, this article charts three paths to the future: continuing avoidance of debate by proponents of evidence-based medicine (EBM); conflict, which the EBM movement courts and critics have espoused, and dialogue. The last portal allows for integration, which would end the disagreement between EBM and its critics and make a debate unnecessary. In search of integration, I sketch a bridge whose construction requires not compromise but a win- win approach. (...)
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  31.  36
    Evidence‐Based Medicine and its Role in Ethical Decision‐Making.Pascal Borry, Paul Schotsmans & Kris Dierickx - 2006 - Journal of Evaluation in Clinical Practice 12 (3):306-311.
  32. Just a Paradigm: Evidence-Based Medicine in Epistemological Context.Miriam Solomon - 2011 - European Journal for Philosophy of Science 1 (3):451-466.
    Evidence-Based Medicine (EBM) developed from the work of clinical epidemiologists at McMaster University and Oxford University in the 1970s and 1980s and self-consciously presented itself as a "new paradigm" called "evidence-based medicine" in the early 1990s. The techniques of the randomized controlled trial, systematic review and meta-analysis have produced an extensive and powerful body of research. They have also generated a critical literature that raises general concerns about its methods. This paper is a systematic review of the critical (...)
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  33. Does Evidence-Based Medicine Apply to Psychiatry?Mona Gupta - 2007 - Theoretical Medicine and Bioethics 28 (2):103.
    Evidence-based psychiatry (EBP) has arisen through the application of evidence-based medicine (EBM) to psychiatry. However, there may be aspects of psychiatric disorders and treatments that do not conform well to the assumptions of EBM. This paper reviews the ongoing debate about evidence-based psychiatry and investigates the applicability, to psychiatry, of two basic methodological features of EBM: prognostic homogeneity of clinical trial groups and quantification of trial outcomes. This paper argues that EBM may not be the best way to pursue (...)
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  34.  45
    Evidence-Based Medicine and Modernism: Still Better Than the Alternatives.Peter Zachar - 2012 - Philosophy, Psychiatry, and Psychology 19 (4):313-316.
    Thomas, Bracken, and Timimi (2012) make an important contribution in critiquing the extent to which the profession of psychiatry can be so bureaucratic that patients are treated as problems to be solved in an ‘efficient’ assembly line fashion rather than as individual persons. The trouble with bureaucracies is that they promote a cold and impersonal accounting approach in which critical reflection on purposes is circumvented by decision-making algorithms (Zachar and Bartlett 2009). Psychotherapy treatment manuals definitely satisfy the bureaucratic instinct, and (...)
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  35.  12
    Is Evidence-Based Medicine About Democratizing Medical Practice?Keld Thorgaard - 2014 - Outlines. Critical Practice Studies 15 (1):49-62.
    The authoritarian standpoint in medicine has been under challenge by various groups and researchers since the 1980s. The challenges have been ethical, political and medical, with patient movements at the forefront. Over the past decade, however, a deep challenge has been posed by evidence-based medicine (EBM), which has challenged the entire strategy of medical treatment from the point of view of a self-critical, anti-authoritarian and hereby also (it has been claimed) a more democratic medical practice. Previously, the challenges (...)
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  36.  75
    Epistemology and Ethics of Evidence-Based Medicine: Putting Goal-Setting in the Right Place.Piersante Sestini - 2010 - Journal of Evaluation in Clinical Practice 16 (2):301-305.
    While evidence-based medicine (EBM) is often accused on relying on a paradigm of 'absolute truth', it is in fact highly consistent with Karl Popper's criterion of demarcation through falsification. Even more relevant, the first three steps of the EBM process are closely patterned on Popper's evolutionary approach of objective knowledge: (1) recognition of a problem; (2) generation of solutions; and (3) selection of the best solution. This places the step 1 of the EBM process (building an answerable question) in (...)
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  37.  32
    Evidence-Based Medicine and Women: Do the Principles and Practice of EBM Further Women's Health?Wendy Rogers - 2004 - Bioethics 18 (1):50-71.
    Clinicians and policy makers the world over are embracing evidence-based medicine. The promise of EBM is to use summaries of research evidence to determine which healthcare interventions are effective and which are not, so that patients may benefit from effective interventions and be protected from useless or harmful ones. EBM provides an ostensibly rational and objective means of deciding whether or not an intervention should be provided on the basis of its effectiveness, in theory leading to fair and effective (...)
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  38. Evidence in Medicine and Evidence-Based Medicine.John Worrall - 2007 - Philosophy Compass 2 (6):981–1022.
  39. Evidence-Based Medicine.Robyn Bluhm & Kirstin Borgerson - 2011 - In Fred Gifford (ed.), Philosophy of Medicine. Elsevier.
  40.  50
    Evidence-Based Medicine: A New Tool for Resource Allocation?Rui Nunes - 2003 - Medicine, Health Care and Philosophy 6 (3):297-301.
    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. (...)
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  41.  38
    Evidence-Based Medicine as an Instrument for Rational Health Policy.Nikola Biller-Andorno, Reidar K. Lie & Ruud Ter Meulen - 2002 - Health Care Analysis 10 (3):261-275.
    This article tries to present a broad view on the values and ethicalissues that are at stake in efforts to rationalize health policy on thebasis of economic evaluations (like cost-effectiveness analysis) andrandomly controlled clinical trials. Though such a rationalization isgenerally seen as an objective and `value free' process, moral valuesoften play a hidden role, not only in the production of `evidence', butalso in the way this evidence is used in policy making. For example, thedefinition of effectiveness of medical treatment or (...)
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  42.  29
    Evidence-Based Medicine and Progress in the Medical Sciences.Leen De Vreese - 2011 - Journal of Evaluation in Clinical Practice 17 (5):852-856.
    The question what scientific progress means for a particular domain such as medicine seems importantly different from the question what scientific progress is in general. While the latter question received ample treatment in the philosophical literature, the former question is hardly discussed. I argue that it is nonetheless important to think about this question in view of the methodological choices we make. I raise specific questions that should be tackled regarding scientific progress in the medical sciences and demonstrate their (...)
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  43.  51
    The Evidence That Evidence-Based Medicine Omits.Brendan Clarke, Donald Gillies, Phyllis Illari, Federica Russo & Jon Williamson - unknown
    According to current hierarchies of evidence for EBM, evidence of correlation is always more important than evidence of mechanisms when evaluating and establishing causal claims. We argue that evidence of mechanisms needs to be treated alongside evidence of correlation. This is for three reasons. First, correlation is always a fallible indicator of causation, subject in particular to the problem of confounding; evidence of mechanisms can in some cases be more important than evidence of correlation when assessing a causal claim. Second, (...)
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  44.  9
    Evidence‐Based Medicine: A New Paradigm or the Emperor's New Clothes?Eyal Shahar Md Mph - 1998 - Journal of Evaluation in Clinical Practice 4 (4):277-282.
  45.  18
    Evidence‐Based Medicine: Reference? Dogma? Neologism? New Orthodoxy?A. Polychronls, A. Miles & P. Bentley - 1996 - Journal of Evaluation in Clinical Practice 2 (1):1-3.
  46.  24
    The Challenges of Evidence-Based Medicine: A Philosophical Perspective.Abhaya V. Kulkarni - 2004 - Medicine, Health Care and Philosophy 8 (2):255-260.
    Although evidence-based medicine has gained prominence in current medical practice and research, it has also had to deal with a number of problems and inconsistencies. For example, how do clinicians reconcile discordant results of randomized trials or how do they apply results of randomized trials to individual patients? In an attempt to examine such problems in a structured way, this essay describes EBM within a philosophical framework of science. Using this approach, some of the problems and challenges faced by (...)
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  47.  14
    Reconciling Evidence‐Based Medicine and Patient‐Centred Care: Defining Evidence‐Based Inputs to Patient‐Centred Decisions.Robert R. Weaver - 2015 - Journal of Evaluation in Clinical Practice 21 (6):1076-1080.
  48.  7
    Evidence-Based Medicine and Women: Do the Principles and Practice of EBM Further Women's Health?Wendy Rogers - 2004 - Bioethics 18 (1):50–71.
    108 COWLEY RD, OXFORD, ENGLAND, OXON, OX4 1JF.
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  49.  16
    Evidence‐Based Medicine and Limits to the Literature Search.Robin Nunn - 2008 - Journal of Evaluation in Clinical Practice 14 (5):672-678.
  50.  28
    Evidence Based Medicine and Ethics.T. Hope - 1995 - Journal of Medical Ethics 21 (5):259-260.
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