Ethics and Evidence-Based Medicine: Fallibility and Responsibility in Clinical Science / Edition 1

Paperback (Print)
Buy New
Buy New from BN.com
$73.80
Used and New from Other Sellers
Used and New from Other Sellers
from $6.77
Usually ships in 1-2 business days
(Save 91%)
Other sellers (Paperback)
  • All (8) from $6.77   
  • New (3) from $58.36   
  • Used (5) from $6.77   
Close
Sort by
Page 1 of 1
Showing All
Note: Marketplace items are not eligible for any BN.com coupons and promotions
$6.77
Seller since 2006

Feedback rating:

(60180)

Condition:

New — never opened or used in original packaging.

Like New — packaging may have been opened. A "Like New" item is suitable to give as a gift.

Very Good — may have minor signs of wear on packaging but item works perfectly and has no damage.

Good — item is in good condition but packaging may have signs of shelf wear/aging or torn packaging. All specific defects should be noted in the Comments section associated with each item.

Acceptable — item is in working order but may show signs of wear such as scratches or torn packaging. All specific defects should be noted in the Comments section associated with each item.

Used — An item that has been opened and may show signs of wear. All specific defects should be noted in the Comments section associated with each item.

Refurbished — A used item that has been renewed or updated and verified to be in proper working condition. Not necessarily completed by the original manufacturer.

Very Good
Great condition for a used book! Minimal wear. 100% Money Back Guarantee. Shipped to over one million happy customers. Your purchase benefits world literacy!

Ships from: Mishawaka, IN

Usually ships in 1-2 business days

  • Canadian
  • International
  • Standard, 48 States
  • Standard (AK, HI)
  • Express, 48 States
  • Express (AK, HI)
$6.77
Seller since 2006

Feedback rating:

(60180)

Condition: Good
Shows some signs of wear, and may have some markings on the inside. 100% Money Back Guarantee. Shipped to over one million happy customers. Your purchase benefits world literacy!

Ships from: Mishawaka, IN

Usually ships in 1-2 business days

  • Canadian
  • International
  • Standard, 48 States
  • Standard (AK, HI)
  • Express, 48 States
  • Express (AK, HI)
$24.99
Seller since 2014

Feedback rating:

(43)

Condition: Good
Buy with Confidence. Excellent Customer Support. We ship from multiple US locations. No CD, DVD or Access Code Included.

Ships from: Fort Mill, SC

Usually ships in 1-2 business days

  • Standard, 48 States
$28.91
Seller since 2010

Feedback rating:

(15)

Condition: Good
Good Ships from UK in 48 hours or less (usually same day). Your purchase helps support the African Children's Educational Trust (A-CET). Ex-library, so some stamps and wear, but ... in good overall condition. 100% money back guarantee. We are a world class secondhand bookstore based in Hertfordshire, United Kingdom and specialize in high quality textbooks across an enormous variety of subjects. We aim to provide a vast range of textbooks, rare and collectible books at a great price. Through our work with A-CET we have helped give hundreds of young people in Africa the vital chance to get an education. We provide a 100% money back guarantee and are dedicated to providing our customers with the highest standards of service in the bookselling industry. *****PLEASE NOTE: This item is shipping from an authorized seller in Europe. In the event that a return is necessary, you will be able to return your item within the US. To learn more about our European sellers and policies see the BookQuest FAQ section***** Read more Show Less

Ships from: Waltham Abbey, United Kingdom

Usually ships in 1-2 business days

  • Canadian
  • International
  • Standard, 48 States
  • Standard (AK, HI)
$58.36
Seller since 2008

Feedback rating:

(94)

Condition: New
2002 Paperback New Ships Fast! Satisfaction Guaranteed!

Ships from: Skokie, IL

Usually ships in 1-2 business days

  • Canadian
  • International
  • Standard, 48 States
  • Standard (AK, HI)
  • Express, 48 States
  • Express (AK, HI)
$76.04
Seller since 2009

Feedback rating:

(10349)

Condition: New
New Book. Shipped from US within 4 to 14 business days. Established seller since 2000

Ships from: Secaucus, NJ

Usually ships in 1-2 business days

  • Standard, 48 States
  • Standard (AK, HI)
$76.32
Seller since 2008

Feedback rating:

(4481)

Condition: New
New Book. Shipped from UK within 4 to 14 business days. Established seller since 2000.

Ships from: Horcott Rd, Fairford, United Kingdom

Usually ships in 1-2 business days

  • Standard, 48 States
  • Standard (AK, HI)
$95.31
Seller since 2014

Feedback rating:

(6)

Condition: Very Good
2002 Paperback NEAR FINE Paperback, 184pp., This listing is a new book, a title currently in-print which we order directly and immediately from the publisher. *****PLEASE NOTE: ... This item is shipping from an authorized seller in Europe. In the event that a return is necessary, you will be able to return your item within the US. To learn more about our European sellers and policies see the BookQuest FAQ section***** Read more Show Less

Ships from: Stroud, Glos, United Kingdom

Usually ships in 1-2 business days

  • Canadian
  • Standard, 48 States
  • Standard (AK, HI)
Page 1 of 1
Showing All
Close
Sort by

Overview

A quarter-century of outcomes research, systematic reviews and research synthesis have reshaped medicine and other health professions, even as they have been subjected to vigorous and vehement criticism. The growth of evidence-based medicine has occurred against a backdrop of health care reform, managed care, cost containment and quality improvement, and clinicians have been urged to adopt the rigors of science while remaining true to their "clinical judgment." This tension - between efforts to make medical practice more scientific and the suspicions of many clinicians - has caused one of the greatest practical and ethical challenges in the history of the health professions. This incisive book reviews the history and conceptual origins of evidence-based practice and discusses key ethical issues that arise in clinical practice, public health and health policy. Essential reading for all physicians, and practitioners in epidemiology and public health, it will also be suitable as a text in medical and public health school courses on evidence-based practice.
Read More Show Less

Editorial Reviews

Doody's Review Service
Reviewer: Lisa Judy Chin, MPH, JD (Columbia University College of Physicians and Surgeons)
Description: This book reviews the historical and conceptual origins of evidence-based healthcare practice and discusses ethical issues that have emerged with the evolution of evidence-based practice.
Purpose: The author examines the professional conflict that clinicians are faced with — the demand that healthcare practice be based on the rigors of science but also needing to maintain their clinical judgment. According to the author, this conflict has created a tension for healthcare providers and resulted in one of the "greatest practical and ethical challenges in the history of the health professions." The author discusses the issue of uncertainty of knowledge in professional practice and yet, in the presence of such uncertainty, healthcare providers should not neglect their professional duty to reduce this uncertainty. The author contends, "that even our best evidence will never be complete or definitive is not in itself a reason to slack off." With that, the book provides a thoughtful discussion regarding the ethical considerations of evidence-based practice, and the provider's ethical obligation in navigating through the world of evidence-based practice, that is, why should healthcare providers adopt evidence-based practice and by doing so, they are not compromising their clinical judgment.
Audience: According to the author, the book is targeted for health professional students studying evidence-based practice, all physicians, and practitioners of epidemiology and public health. I would concur with the author about the intended audience for the book. Although the book has a strong emphasis on clinical medicine, there are critical topics for epidemiologists and public health professionals. The author should be regarded as a credible authority as a bioethicist who holds academic appointments in medicine, philosophy, epidemiology, public health, and nursing.
Features: The first three chapters of the book examine the history of evidence-based practice and the role of meta-analysis and research synthesis as a means to develop evidence-based practice. In chapter 4, the author discusses the use of randomized clinical trials as the "engine of evidence-based practice" and the application of computer informatics in clinical and epidemiological research and the issue of informed consent and confidentiality, as well the potential of uncertainty in conducting research. Also, in this chapter, the author also has a brief critical discussion of emergency public health informatics and uses bioterrorism as a case study. Chapter 5 examines the establishment of evidence-based clinical medicine via the development and use of clinical practice guidelines and the economic and legal consequences of guidelines. Of particular importance in this chapter, the author acknowledges the weaknesses of clinical practice guidelines but reminds us that the role of clinical practice guidelines can be used to reduce the uncertainty factor in the practice of medicine. In chapter 6, the author discusses issues of ethics in epidemiology and creating public health policy based on evidence. In examining the issue of creating evidence-based public health policy, the author uses three different case studies - passive smoking, screening mammography, and otitis media. The author also examines the issue of evidence-based genetics and its implication for designing health interventions. In the final chapter, the author draws together the various elements put forth in the previous chapters to examine the issue of ethics and evidence and the author proposes "ethical best practice" as means to deal "with the practical challenges raised by evidence-based medicine, showing that ethical practice is, in large part, scientifically sound practice." One major drawback of this book is that the author has very little discussion about the impact of evidence-based practice on the provider-patient relationship at the individual level. He argues that one reason why healthcare providers fail to adopt evidence-based practice is that providers don't believe the evidence applies to the individual patient. In making his argument for evidence-based practice, he draws on the broader perspective and why it should be applied to the individual patient. Although the argument is convincing, the discussion could be further enhanced if the provider-patient relationship on the individual level had been examined.
Assessment: Despite this weakness, the author provides a well written and readable work on the ethical issues of evidence-based practice for health professional students, clinical healthcare professionals, and public health professionals. He provides a substantiated argument for adopting evidence-based practice from an ethical perspective that healthcare providers and practitioners should consider.
From the Publisher
"...a worthwhile survey...covers a fascinating range of topics...It will be enjoyable and useful for people who are looking for a field guide to a large number of philosophical topics relevant to EBM..." Jason Grossman, University of Sydney, Journal of the Philosophy of Science Association

"This is definitely a useful book, and easy to read, yet asking the reader to think and learn." Joan Liaschenko, Center for Bioethics and School of Nursing, University of Minnesota, Nursing Ethics

"Goodman deals with complex and nuanced concepts while writing in a casual vernacular that is at times amusing..." Mark R. Tonelli MD MA, University of Washington, Respiratory Care

"Well worth reading....It is lucid and elegantly written..." The Lancet


5 Stars! from Doody
Read More Show Less

Product Details

  • ISBN-13: 9780521796538
  • Publisher: Cambridge University Press
  • Publication date: 3/1/2003
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 184
  • Product dimensions: 5.98 (w) x 8.98 (h) x 0.39 (d)

Meet the Author

Kenneth W. Goodman is founder and director of the University of Miami's Bioethics Program and its Pan-American Bioethics Initiative. He is also co-director of the University's Program in Business, Governmental and Professional Ethics, and holds appointments in the Departments of Medicine, Philosophy, Epidemiology and Public Health, and the School of Nursing. He is editor of Ethics, Computing and Medicine (Cambridge, 1998), and the author of many articles in bioethics, the philosophy of science and computing.
Read More Show Less

Table of Contents

Preface
Acknowledgments
1 Foundations and history of evidence-based practice 1
2 The research synthesis revolution 23
3 Evidence of evidence, and other conceptual challenges 41
4 Human subjects, the Internet, databases, and data mining 67
5 Evidence at the bedside 91
6 Public health policy, uncertainty, and genetics 113
7 Ethics and evidence 129
References 141
Index 165
Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)