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Science and proven ...
Science and proven experience : a Swedish variety of evidence-based medicine?
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- Persson, Johannes (författare)
- Lund University,Lunds universitet,Teoretisk filosofi,Filosofiska institutionen,Institutioner,Humanistiska och teologiska fakulteterna,Vetenskap och Beprövad Erfarenhet (VBE),Forskargrupper vid Lunds universitet,Theoretical Philosophy,Department of Philosophy,Departments,Joint Faculties of Humanities and Theology,VBE,Lund University Research Groups
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- Vareman, Niklas (författare)
- Lund University,Lunds universitet,Medicinsk etik,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Vetenskap och Beprövad Erfarenhet (VBE),Forskargrupper vid Lunds universitet,Medical Ethics,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,VBE,Lund University Research Groups
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- Wallin, Annika (författare)
- Lund University,Lunds universitet,Kognitionsvetenskap,Filosofiska institutionen,Institutioner,Humanistiska och teologiska fakulteterna,Vetenskap och Beprövad Erfarenhet (VBE),Forskargrupper vid Lunds universitet,Cognitive Science,Department of Philosophy,Departments,Joint Faculties of Humanities and Theology,VBE,Lund University Research Groups
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- Wahlberg, Lena (författare)
- Lund University,Lunds universitet,Vetenskap och Beprövad Erfarenhet (VBE),Forskargrupper vid Lunds universitet,Health Law,VBE,Lund University Research Groups
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- Sahlin, Nils-Eric (författare)
- Lund University,Lunds universitet,Medicinsk etik,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Vetenskap och Beprövad Erfarenhet (VBE),Forskargrupper vid Lunds universitet,Medical Ethics,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,VBE,Lund University Research Groups
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(creator_code:org_t)
- 2016
- 2016
- Engelska.
- Relaterad länk:
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Abstract
Ämnesord
Stäng
- A key question for evidence-based medicine (EBM) is how best to model the way in which EBM should “[integrate] individual clinical expertise and the best external evidence” (Sackett et al. 1996). We argue that the formulations and models available in the literature today are modest variations on a common theme and face very similar problems. For example, both the early and updated models of evidence-based clinical decisions presented in Haynes, Devereaux and Guyatt (2002) assume (with Sackett, et. al., 1996) that EBM consists of, among other things, evidence from clinical research and clinical expertise. On this A-view, EBM describes all that goes on in a specific justifiable medical decision. There is, however, an alternative interpretation of EBM, the B-view, in which EBM describes just one component of the decision situation (a component usually based on evidence from clinical research) and in which, together with other types of evidence, EBM leads to a justifiable clincial decision but does not describe the decision itself. This B-view is inspired by a 100-years older version of EBM, a Swedish standard requiring medical decision-making and practice to be in accordance with ‘science and proven experience’. In the paper we outline how the Swedish concept leads to an improved understanding of the way in which scientific evidence and clinical experience can and cannot be integrated in light of EBM. In addition the paper sketches the as yet unexplored historical background to EBM.
- A key question for evidence-based medicine (EBM) is how best to model the way in which EBM should “[integrate] individual clinical expertise and the best external evidence” (Sackett et al. 1996). We argue that the formulations and models available in the literature today are modest variations on a common theme and face very similar problems. For example, both the early and updated models of evidence-based clinical decisions presented in Haynes, Devereaux and Guyatt (2002) assume (with Sackett, et. al., 1996) that EBM consists of, among other things, evidence from clinical research and clinical expertise. On this A-view, EBM describes all that goes on in a specific justifiable medical decision. There is, however, an alternative interpretation of EBM, the B-view, in which EBM describes just one component of the decision situation (a component usually based on evidence from clinical research) and in which, together with other types of evidence, EBM leads to a justifiable clincial decision but does not describe the decision itself. This B-view is inspired by a 100-years older version of EBM, a Swedish standard requiring medical decision-making and practice to be in accordance with ‘science and proven experience’. In the paper we outline how the Swedish concept leads to an improved understanding of the way in which scientific evidence and clinical experience can and cannot be integrated in light of EBM. In addition the paper sketches the as yet unexplored historical background to EBM.
Ämnesord
- HUMANIORA -- Filosofi, etik och religion -- Filosofi (hsv//swe)
- HUMANITIES -- Philosophy, Ethics and Religion -- Philosophy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Medicinsk etik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Medical Ethics (hsv//eng)
Nyckelord
- Evidence-Based Medicine
- proven experience
- history of medicine
- philosophy of science
- philosophy of medicine
Publikations- och innehållstyp
- kon (ämneskategori)
- ref (ämneskategori)