SYMPOSIUM ON EVIDENCE BASED MEDICINE Current epistemological problems in evidence based medicine
نویسنده
چکیده
Evidence based medicine has been a topic of considerable controversy in medical and health care circles over its short lifetime, because of the claims made by its exponents about the criteria used to assess the evidence for or against the effectiveness of medical interventions. The central epistemological debates underpinning the debates about evidence based medicine are reviewed by this paper, and some areas are suggested where further work remains to be done. In particular, further work is needed on the theory of evidence and inference; causation and correlation; clinical judgment and collective knowledge; the structure of medical theory; and the nature of clinical effectiveness.
منابع مشابه
A review on evidence-based medicine
Physicians’ daily need for valid information about diseases, their limited time for finding this information, the inadequacy of traditional sources (E.g. textbooks) to address this matter, the disparity between physicians diagnostic skills and clinical judgment (Which increase with experience) and their up to date knowledge and clinical performance (Which decline by time), as well as dramatic d...
متن کاملEffect of evidence based medicine training in the quality of journal clubs: A road to evidence based journal clubs
Introduction: Journal clubs play an important role in teaching Evidence Based Medicine (EBM). Evidence based journal clubs focus on real problems of the group, and set a minimum level of evidence for articles to be presented, and in the end a clinical bottom line is set to be used in the daily clinical practice. In this article, we have explained our experience in r...
متن کاملEvidence based medicine in nuclear medicine practice; Part II: Appraising and applying the evidence
As described in the first part of this article, Evidence Based Medicine (EBM) is a growing part of medical practice which emphasizes on the best evidence. Finding this evidence by formulating an answerable question and searching strategies were described in the first part of this review. In this part, appraising the retrieved article (with the main focus on the diag...
متن کاملپزشکی مبتنی بر شواهد در بوتهی نقد: ضرورت پرداختن به پزشـکی مبتنی بر شواهـد حقیقـی
About 25 years have been passed since the evidence-based medicine (EBM) group declared it as a new approach to teaching and practicing clinical medicine. EBM was based on the combination of three principles: use of current best evidence from research, clinical expertise, and patients' values and preferences. Practically, EBM substitutes pathophysiological reasoning based on basic science resear...
متن کاملSCIENTIFIC MAP OF EVIDENCE-BASED MEDICINE PRODUCTION IN TEHRAN UNIVERSITY OF MEDICAL SCIENCES IN SCOPUS DATABASE
Background: The purpose of this study is to identify patterns of information sharing in the field of evidence-based medicine to determine the main areas of evidence dissemination, including co-authorship patterns and citation networks, and to provide a scientific horizon for improving evidence-based medical research in Iran. Accordingly, evidence-based medicine related research at the Endocrino...
متن کامل