Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
A mapping of facilitators and barriers to evidence-based management in health systems: a scoping review study.
Syst Rev
January 2021
Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Background: Healthcare settings are complex, and the decision-making process is usually complicated, too. Precise use of best evidence from different sources for increasing the desired outcomes is the result of EBM. Therefore, this study aimed to map the potential facilitators and barriers to EBM in health systems to help the healthcare managers to better implement EBM in their organizations.
View Article and Find Full Text PDFProfessional judgement in clinical practice (part 2): knowledge into practice.
J Eval Clin Pract
June 2021
College of Built Environments, University of Washington, Seattle, Washington, USA.
Rationale, Aims, And Objectives: Though strong evidence-based medicine is assertive in its claims, an insufficient theoretical basis and patchwork of arguments provide a good case that rather than introducing a new paradigm, EBM is resisting a shift to actually revolutionary complexity theory and other emergent approaches. This refusal to pass beyond discredited positivism is manifest in strong EBM's unsuccessful attempts to continually modify its already inadequate previous modifications, as did the defenders of the Ptolemaic astronomical model who increased the number of circular epicycles until the entire epicycle-deferent system proved untenable.
Methods: Narrative Review.
A return to reasonableness and virtue in medical epistemology.
J Eval Clin Pract
April 2020
Sydney Health Ethics, School of Public Health, The University of Sydney, New South Wales, Australia.
The foundationalist and anti-foundationalist conceptions of medical knowledge have been at loggerheads for decades. Evidence-based medicine (EBM), the most prominent form of foundationalism, has attained wide appeal and acceptance among authorities. It proposes that evidence is the "base" upon which all clinical decisions should be grounded.
View Article and Find Full Text PDFA Not-So-Gentle Refutation of the Defence of Homeopathy.
J Bioeth Inq
March 2016
Institute of Philosophy and Sociology, Polish Academy of Sciences, Nowy Świat 72, Warszawa, 00-330, Poland.
In a recent paper, Levy, Gadd, Kerridge, and Komesaroff attempt to defend the ethicality of homeopathy by attacking the utilitarian ethical framework as a basis for medical ethics and by introducing a distinction between evidence-based medicine and modern science. This paper demonstrates that their argumentation is not only insufficient to achieve that goal but also incorrect. Utilitarianism is not required to show that homeopathic practice is unethical; indeed, any normative basis of medical ethics will make it unethical, as a defence of homeopathic practice requires the rejection of modern natural sciences, which are an integral part of medical ethics systems.
View Article and Find Full Text PDFIt's NOT FAIR! Or is it? The promise and the tyranny of evidence-based performance assessment.
Theor Med Bioeth
August 2012
Center for Ethics and Humanities in the Life Sciences, Michigan State University, East Fee Hall, 965 Fee Road, Room C222, East Lansing, MI 48824, USA.
Evidence-based medicine (EBM), by its ability to decrease irrational variations in health care, was expected to improve healthcare quality and outcomes. The utility of EBM principles evolved from individual clinical decision-making to wider foundational clinical practice guideline applications, cost containment measures, and clinical quality performance measures. At this evolutionary juncture one can ask the following questions.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!