Corroborating evidence-based medicine

Proponents of evidence-based medicine (EBM) have argued convincingly for applying this scientific method to medicine. However, the current methodological framework of the EBM movement has recently been called into question, especially in epidemiology and the philosophy of science. The debate has foc...

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मुख्य लेखक: Mebius, A
स्वरूप: Journal article
भाषा:English
प्रकाशित: Wiley 2014
विषय:
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author Mebius, A
author_facet Mebius, A
author_sort Mebius, A
collection OXFORD
description Proponents of evidence-based medicine (EBM) have argued convincingly for applying this scientific method to medicine. However, the current methodological framework of the EBM movement has recently been called into question, especially in epidemiology and the philosophy of science. The debate has focused on whether the methodology of randomized controlled trials provides the best evidence available. This paper attempts to shift the focus of the debate by arguing that clinical reasoning involves a patchwork of evidential approaches and that the emphasis on evidence hierarchies of methodology fails to lend credence to the common practice of corroboration in medicine. I argue that the strength of evidence lies in the evidence itself, and not the methodology used to obtain that evidence. Ultimately, when it comes to evaluating the effectiveness of medical interventions, it is the evidence obtained from the methodology rather than the methodology that should establish the strength of the evidence.
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spelling oxford-uuid:7a4ea0e1-c6e7-425b-9e45-fda6e23024fe2022-03-26T20:43:09ZCorroborating evidence-based medicineJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7a4ea0e1-c6e7-425b-9e45-fda6e23024feOrganisation and evaluation of medical careEvaluation of social policies,programmes and practiceEpidemiologyPhilosophyEnglishOxford University Research Archive - ValetWiley2014Mebius, AProponents of evidence-based medicine (EBM) have argued convincingly for applying this scientific method to medicine. However, the current methodological framework of the EBM movement has recently been called into question, especially in epidemiology and the philosophy of science. The debate has focused on whether the methodology of randomized controlled trials provides the best evidence available. This paper attempts to shift the focus of the debate by arguing that clinical reasoning involves a patchwork of evidential approaches and that the emphasis on evidence hierarchies of methodology fails to lend credence to the common practice of corroboration in medicine. I argue that the strength of evidence lies in the evidence itself, and not the methodology used to obtain that evidence. Ultimately, when it comes to evaluating the effectiveness of medical interventions, it is the evidence obtained from the methodology rather than the methodology that should establish the strength of the evidence.
spellingShingle Organisation and evaluation of medical care
Evaluation of social policies,programmes and practice
Epidemiology
Philosophy
Mebius, A
Corroborating evidence-based medicine
title Corroborating evidence-based medicine
title_full Corroborating evidence-based medicine
title_fullStr Corroborating evidence-based medicine
title_full_unstemmed Corroborating evidence-based medicine
title_short Corroborating evidence-based medicine
title_sort corroborating evidence based medicine
topic Organisation and evaluation of medical care
Evaluation of social policies,programmes and practice
Epidemiology
Philosophy
work_keys_str_mv AT mebiusa corroboratingevidencebasedmedicine