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| Research article summary (published 29 Apr 2003): |
A critical appraisal of evidence-based medicine: some ethical considerations.
Full Abstract
Evidence-based medicine (EBM) is a concept that has grown to dominate the medical literature over the last decade. EBM has provoked a variety of criticisms, scientific, philosophical and sociological. However, while its basic conclusion--that we should practise EBM--is ethical, there has been limited ethical analysis of EBM. This paper aims to provide an analysis of EBM from an ethical perspective and identify some of EBM's potential ethical implications. Following a description of what constitutes EBM, this paper will identify and assess some of the basic values and epistemological assumptions of EBM that provide support for the moral duty to practise EBM. It will then examine potential ethical implications that could arise from practising EBM, given the challenges that have been made of EBM's assumptions and claims to authority. This paper will conclude by arguing that practitioners could strengthen the ethics of EBM by embracing a broader definition of evidence and including ethical criteria in the critical appraisal of research studies.
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Author information
Author/s: Gupta, M (M);
Affiliation: Department of Psychiatry, McMaster University, Hamilton, Ontario, Canada.
Journal and publication information
Publication Type: Journal Article
Journal: Journal of evaluation in clinical practice (J Eval Clin Pract), published in England. (Language: eng)
Reference: 2003-May; vol 9 (issue 2) : pp 111-21
Dates: Created 2003/06/05; Completed 2003/10/29; Revised 2007/11/15;
PMID: 12787171, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
Comments and Corrections
CommentIn: J Eval Clin Pract. 2003 May;9(2):123-7. (PMID: 12787172)
CommentIn: J Eval Clin Pract. 2003 May;9(2):129-32. (PMID: 12787173)
CommentIn: J Eval Clin Pract. 2003 May;9(2):133-5. (PMID: 12787174)
CommentIn: J Eval Clin Pract. 2003 May;9(2):137-9. (PMID: 12787175)
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