Foundations and History of Evidence-Based Practice  

Oleh:

Goodman, Kenneth W.

Jenis: Article from Books - E-Book
Dalam koleksi: Ethics and Evidence-Based Medicine Fallibility and Responsibility in Clinical Science, page 1-22.
Topik: Foundations and History; Thomas Beddoes and Pierre Louis; Health Science and the Growth of Knowledge; Medicine; Peers and Specialists; Specialization and the Growth of Knowledge; Error and Evidence
Fulltext: Foundations and History of Evidence-Based Practice.pdf (383.77KB)

Isi artikel

This chapter will locate systematic science and evidence-based medicine against the background of biomedical research in the second half of the twentieth century. The growth of this research paralleled and in some ways forced the evolution of current standards for communicating the results of scientific inquiry (i.e., the emergence of peer review and the expansion of the number of research programs, journals, books, etc.). The research raises interesting issues about the role and nature of expertise and medical knowledge, and it has led to a vast tableau of practice guidelines, critical pathways, consensus statements, and assorted other scientifically based imperatives for the care of individual patients. These imperatives are increasingly linked to physician and institution reimbursement. Where the stakes are highest, as in clinical medicine and public health, these forces assume special importance for ethics and public policy.

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