Evidence-based practice in medicine and health care : a discussion of the ethical issues

Evidence-based Medicine (EBM) is feared to become a kind of cook-book medicine that has nothing to do with the traditional skills and ethics. This volume shows the contribution EBM makes and might make to medical practice and health policy. It describes as many viewpoints as possible with a focus on the ethical issues that are at stake in this process. It shows how EBM has developed from an internal medical issue to an instrument for health policy. It is the outcome of the European Project "Ethical Issues of Evidence Based Practice in Medicine and Health Care" and gives insight into the ethical background of the debate on the role of EBM in various areas of medicine, including clinical practice, medical education, medical research, health policy and medical sociology. The Ethical Debate on Evidence-based Medicine — Introduction to the Volume....Pages 1-8 Regulating Health Care. The Development of Guidelines in Medical Practice and Health Policy....Pages 9-16 Evidence-based Medicine and Power Shifts in Health Care Systems....Pages 17-23 Beyond Legitimate Science: The Case for Policy-Related Science....Pages 25-33 Teaching Evidence-based Medicine....Pages 35-43 Evidence-based Medicine and Clinical Guidelines in Cardiology. Promoting Science, Practice, or Bureaucracy?....Pages 45-60 Are Particular Patients Disadvantaged by EBM? Focus on Frail Elderly Patients....Pages 61-64 Evidence-based Medicine in Mental Health: Towards Better and Fairer Treatment?....Pages 65-75 Current Epistemological Problems in Evidence-based Medicine....Pages 77-85 Coordinating the Norms and Values of Medical Research, Medical Practice and Patient Worlds. The Ethics of Evidence-based Medicine in ‘Boundary Fields of Medicine’....Pages 87-95 Research Ethics and Evidence-based Medicine....Pages 97-103 Clinical Evaluative Research: Which Patients Benefit, How and When? A Contribution to a European Discussion....Pages 105-115 Defining a Proper Background for Discussing Evidence-based Medicine....Pages 117-127 Evidence-based Medicine and Equity: The Exclusion of Disadvantaged Groups....Pages 129-138 The Role of Formal Outcome Evaluations in Health Policy Making: A Normative Perspective....Pages 139-149 The Usefulness of Formal Outcome Evaluations in Health Policy Making: Looking for the Baby in the Bathwater....Pages 151-161 Evidence-based Medicine and Managed Care....Pages 163-172 Recommendations from the Evibase Project....Pages 173-176 The Ethical Debate On Evidence-based Medicine - Introduction To The Volume -- Regulating Health Care. The Development Of Guidelines In Medical Practice And Health Policy -- Evidence-based Medicine And Power Shifts In Health Care Systems -- Beyond Legitimate Science: The Case For Policy-related Science -- Teaching Evidence-based Medicine -- Evidence-based Medicine And Clinical Guidelines In Cardiology. Promoting Science, Practice, Or Bureaucracy? -- Are Particular Patients Disadavantaged By Ebm? Focus On Frail Elderly Patients -- Evidence-based Medicine In Mental Health: Towards Better And Fairer Treatment? Current Epistemological Problems In Evidence-based Medicine -- Coordinating The Norms And Values Of Medical Research, Medical Practice And Patient Worlds. The Ethics Of Evidence-based Medicine In 'boundary Fields Of Medicine' -- Research Ethics And Evidence-based Medicine -- Clinical Evaluative Research: Which Patients Benefit, How And When? A Contribution To A European Discussion -- Defining A Proper Background For Discussing Evidence-based Medicine -- Evidence-based Medicine And Equity: The Exclusion Of Disadvantaged Groups -- The Role Of Formal Outcome Evaluations In Health Policy Making: A Normative Perspective. The Usefulness Of Formal Outcome Evaluations In Health Policy Making: Looking For The Baby In The Bathwater -- Evidence-based Medicine And Managed Care -- Recommendations From The Evibased Project. Ruud Ter Meulen ... [et Al.] (eds.). Includes Bibliographical References And Index. "In this volume you will find as many viewpoints as possible with a focus on the ethical issues that are at stake in this process. It shows how EBM has developed from an internal medical issue to an instrument for health policy. It is the outcome of the European Project>>Ethical Issues of Evidence-based Practice in Medicine and Health CareEthical Issues of Evidence-based Practice in Medicine and Health Care