Evidence Based Medicine A Paradigm Ready To Be Challenged

This open access book aims to clarify the term „evidence-based medicine“ (EBM) from a philosophy of science perspective. The author, Marie-Caroline Schulte discusses the importance of evi-dence in medical research and practice with a focus on the ethical and methodological prob-lems of EBM. The claims that EBM can herald a new theory of epistemology and a Kuhnian paradigm will be refuted. The solution is to describe EBM as a necessary development in medicine to deal with the increasing amount of evidence and medical data without loosing the single patient out of sight. ​

Evidence-based medicine (EBM) has become a required element of clinical practice, but it is critical for the healthcare community to understand the ongoing controversy surrounding EBM. Seeking to address questions raised by critics, The Philosophy of Evidence-based Medicine challenges the over dependency of EBM on randomized controlled trials. This book also explores EBM methodology and its relationship with other approaches used in medicine.

Jeanne Daly traces the development of evidence-based medical practices from the 1970s until the present day.

This concise book presents evidence-based medicine to neophytes in simplified, friendly language. Basic concepts and application of research statistics are presented in simple sequences that are non-threatening even to the mathematically challenged. The authors emphasize two important aspects of appraisal: 1) how directly it provides an answer to the clinical problem at hand and 2) how well results can be generalized to various populations. Painless Evidence-Based Medicine: Offers a simplified approach to the complex or technical subject of evidence-based medicine, in terms of presentation as well as content Is truly designed for the world market place Breaks the subject into succinct chapters, each chapter being a self sufficient introduction to the topic Includes pre-tested ‘tackle boxes’ throughout to help readers understand the issues Painless Evidence-Based Medicine is an invaluable resource for medical students, clinicians, clinical epidemiology practitioners, and everyone involved in health care.

The first book to explore the effects of dramatic changes in the delivery of medical care.

In a world where science faces challenges from creationists and climate change deniers, and where social media is awash with wild conspiracy theories, it is no longer enough for scientists, pundits, and activists to simply ask the public to trust science. Rather, all must better understand how science works, and why science is essential. By exploring many of the odd beliefs embraced by large sections of the public that are rejected by the scientific mainstream, Weirdness! makes a case for science that goes beyond popular slogans. It takes seriously claims that paranormal phenomena, such as psychic abilities and mythical creatures, might be real, but demonstrates how such phenomena would extend beyond the laws of nature. It rejects a sharp boundary between science and religion, while explaining how to negotiate their real differences. Denials of science cause no end of trouble, but so too does placing blind trust in science. As Weirdness! reminds readers, science should not be seen as a mechanism that takes in data and spits out truth—indeed, what we get wrong about how the world works is often as interesting as what we get right.

Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

The term ‘mindlines’ has become common currency in the world of research implementation and evidence-based practice. This book updates, develops and applies the mindlines model more widely. It sheds light on how we can realistically mobilise and transform research-based evidence into practice in context. This illuminating book shows how the mindlines model can be put to work. It highlights how practitioners collectively share and internalise implicit, flexible ways of rapidly handling complex clinical situations. Drawing on research and reflective studies from practice, education, and guidelines-development across a wide range of international health and care settings, the authors unpack the general components of mindlines. They find practical ways to uncover, bring together and apply specific mindlines to improve practice; and to develop evidence-based healthcare policy, practice and education in ways that capitalise on the crucial role of mindlines. Closely edited by the originators of the mindlines model, this book brings together the work of a cohesive group of researchers and practitioners to showcase and develop its theory and consequences. It is an essential read for all those interested in knowledge mobilisation, evidence-based practice, and research implementation both within healthcare and beyond.