Pub. Date:
Cambridge University Press
Ethics and Evidence-Based Medicine: Fallibility and Responsibility in Clinical Science

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

by Kenneth W. Goodman


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

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.

Product Details

ISBN-13: 9780521819336
Publisher: Cambridge University Press
Publication date: 11/07/2002
Pages: 184
Product dimensions: 5.98(w) x 8.98(h) x 0.55(d)

About the Author

Kenneth W. Goodman is founder and director of the University of Miami� Bioethics Program and its Pan-American Bioethics Initiative. He is also co-director of the University� 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.

Table of Contents

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

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