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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| Format: | Journal article |
| Sprache: | English |
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Wiley
2014
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| _version_ | 1826280480061784064 |
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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. |
| first_indexed | 2024-03-07T00:14:20Z |
| format | Journal article |
| id | oxford-uuid:7a4ea0e1-c6e7-425b-9e45-fda6e23024fe |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T00:14:20Z |
| publishDate | 2014 |
| publisher | Wiley |
| record_format | dspace |
| 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 |