On Evidence and Evidence Based Medicine : Lessons from the Philosophy of Science  

Oleh:

Goldenberg, Maya J.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 11 (Jun. 2006), page 2621-2632.
Topik: EVIDENCE; evidence; evidence absed medicine; philosophy of science; pisitivism; feminist epistemology; phenomenology

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.4 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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The evidence based medicine (EBM) movement is touted as a new paradigm in medical education and practice, a description that carries with it an enthusiasm for science that has not been seen since logical positivism fluorished (circa 1920 - 1950). At the same time, the term evidence based medicine, has a ring of obviousness to it, as few physicians, one suspects, would claim that they do not attempt to base their clinical decision making on available evidence. However, the apparent obviousness of EBM can and should be challenged on the grounds of how evidence has been prolematised in the philosophy of science. EBM enthusiasm, it follows, ought to be tempered. The post positicist, feminist and phenomenological philosophies of science that are examined in this paper contest the seemingly unproblematic nature of evidence that underlies EBM by emphasizing different features ogf the social nature of science. The apeal to the authority of evidence that characterizes evidence based practices does not increase objectivity but rather obscures the subjective elements that inescapably enter all forms of human inquiry. The seeming common sense of EBM only occurs because of its assumed removal from the social context of medical practice. In the current age where the institutional power of medicine is suspect, a model that represents biomedicine as politically disinterested or merely scientitif should give pause.

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