Evidence-based medicine: the need for a new definition.
作者： S. Buetow , T. Kenealy
DOI: 10.1046/J.1365-2753.2000.00237.X
关键词:
摘要: Evidence is defined by its ability to establish or support conclusions. Evidence-based medicine (EBM) equates evidence with scientific and views factors such as clinical expertise important in moving from action. In contrast, we suggest that EBM should acknowledge multiple dimensions of including evidence, theoretic practical expert judicial ethics-based evidence. What loses not acknowledging these the ability, among other things, make defend judgements based on understandings complement science are no less than those can offer. We argue for a new definition that, without forced accommodation unacceptable compromise, acknowledges produced within outside science.
philpapers.org
sci-hub.se 参考文章(46)
H C Gerstein, J F Yale, S Ludwig, D Lau, D Lillie, S Meltzer, D Daneman, B Zinman, L Leiter, 1998 clinical practice guidelines for the management of diabetes in Canada. Canadian Diabetes Association. Canadian Medical Association Journal. ,(1998)
J M. Bland, D. G Altman, Bayesians and frequentists BMJ. ,vol. 317, pp. 1151- 1160 ,(1998) , 10.1136/BMJ.317.7166.1151
Peter Murphy, A Practical Approach to Evidence ,(1980)
T. Greenhalgh, Narrative based medicine: Narrative based medicine in an evidence based world BMJ. ,vol. 318, pp. 323- 325 ,(1999) , 10.1136/BMJ.318.7179.323
Robert Henry Brook, Appropriateness of Care National Health Policy Forum. ,(1989)
Geoffrey R. Norman, Examining the assumptions of evidence-based medicine. Journal of Evaluation in Clinical Practice. ,vol. 5, pp. 139- 147 ,(1999) , 10.1046/J.1365-2753.1999.00197.X
R D Orr, L B Genesen, Requests for "inappropriate" treatment based on religious beliefs. Journal of Medical Ethics. ,vol. 23, pp. 142- 147 ,(1997) , 10.1136/JME.23.3.142
Nicky Britten, Roger Jones, Elizabeth Murphy, Rosie Stacy, Qualitative research methods in general practice and primary care Family Practice. ,vol. 12, pp. 104- 114 ,(1995) , 10.1093/FAMPRA/12.1.104
Eugene Z. Oddone, Gregory Samsa, David B. Matchar, Global judgments versus decision-model-facilitated judgments: are experts internally consistent? Medical Decision Making. ,vol. 14, pp. 19- 26 ,(1994) , 10.1177/0272989X9401400103
M Eccles, Z Clapp, J Grimshaw, P C Adams, B Higgins, I Purves, I Russell, Developing valid guidelines: methodological and procedural issues from the North of England Evidence Based Guideline Development Project. Quality and Safety in Health Care. ,vol. 5, pp. 44- 50 ,(1996) , 10.1136/QSHC.5.1.44