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Ethics and evidence-based medicine : fallibility and responsibility in clinical science / Kenneth W. Goodman.

Van Pelt Library R725.5 .G66 2003
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Holman Biotech Commons R725.5 .G66 2003
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Format:
Book
Author/Creator:
Goodman, Kenneth W., 1954-
Language:
English
Subjects (All):
Medical ethics.
Evidence-based medicine.
Ethics, Clinical.
Biomedical Research--ethics.
Evidence-Based Medicine--ethics.
Health Policy.
Medical Subjects:
Ethics, Clinical.
Biomedical Research--ethics.
Evidence-Based Medicine--ethics.
Health Policy.
Physical Description:
xii, 168 pages : illustrations ; 23 cm
Place of Publication:
Cambridge ; New York : Cambridge University Press, 2003.
Summary:
A quarter-century of outcomes research, systematic reviews and research synthesis have reshaped medicine and other health professions, even as they have been subjected to vigorous and vehement criticism. The growth of evidence-based medicine has occurred against a backdrop of health care reform, managed care, cost containment and quality improvement, and clinicians have been urged to adopt the rigors of science while remaining true to their "clinical judgment." This tension - between efforts to make medical practice more scientific and the suspicions of many clinicians - has caused one of the greatest practical and ethical challenges in the history of the health professions. This incisive book reviews the history and conceptual origins of evidence-based practice and discusses key ethical issues that arise in clinical practice, public health and health policy. Essential reading for all physicians, and practitioners in epidemiology and public health, it will also be suitable as a text in medical and public health school courses on evidence-based practice.
Contents:
1 Foundations and history of evidence-based practice 1
2 The research synthesis revolution 23
3 Evidence of evidence, and other conceptual challenges 41
4 Human subjects, the Internet, databases, and data mining 67
5 Evidence at the bedside 91
6 Public health policy, uncertainty, and genetics 113
7 Ethics and evidence 129.
Notes:
Includes bibliographical references (pages 141-164) and index.
ISBN:
0521819334
0521796539
OCLC:
49750632

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