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

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

by Kenneth W. Goodman
     
 

ISBN-10: 0521796539

ISBN-13: 9780521796538

Pub. Date: 03/01/2003

Publisher: Cambridge University Press

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…  See more details below

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.

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Product Details

ISBN-13:
9780521796538
Publisher:
Cambridge University Press
Publication date:
03/01/2003
Edition description:
New Edition
Pages:
184
Product dimensions:
5.98(w) x 8.98(h) x 0.39(d)

Table of Contents

Preface
Acknowledgments
1Foundations and history of evidence-based practice1
2The research synthesis revolution23
3Evidence of evidence, and other conceptual challenges41
4Human subjects, the Internet, databases, and data mining67
5Evidence at the bedside91
6Public health policy, uncertainty, and genetics113
7Ethics and evidence129
References141
Index165

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