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Evidence-based Practice in Medicine and Health Care

A Discussion of the Ethical Issues

  • Book
  • © 2005

Overview

Editors:
  1. Ruud Meulen

    1. Instituut voor Gezondheidsethiek, Universiteit Maastricht, ER Maastricht, Germany

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  2. Nikola Biller-Andorno

    1. Professur f. Medizinethik, Charité — Universitätsmedizin Berlin, Berlin, Germany

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  3. Christian Lenk

    1. Abt. Ethik und Geschichte der Medizin, Universität Göttingen, Goettingen, Germany

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  4. Reidar K. Lie

    1. Department of Clinical Bioethics, National Institutes of Health, Bethesda, USA

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  • Points out all pros and cons concerning EBM

  • Presents all convincing arguments regarding the debate on EBM

  • Describes the role of EBM as an instrument of health policy

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Table of contents (18 chapters)

  1. Front Matter

    Pages I-VI
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  2. The Ethical Debate on Evidence-based Medicine — Introduction to the Volume

    • Ruud ter Meulen, Nikola Biller-Andorno, Christian Lenk, Reidar Lie
    Pages 1-8

  3. Regulating Health Care. The Development of Guidelines in Medical Practice and Health Policy

    • Christine Sepers, Ruud ter Meulen
    Pages 9-16

  4. Evidence-based Medicine and Power Shifts in Health Care Systems

    • Rein Vos, Rob Houtepen, Klasien Horstman
    Pages 17-23

  5. Beyond Legitimate Science: The Case for Policy-Related Science

    • Mariachiara Tallacchini
    Pages 25-33

  6. Teaching Evidence-based Medicine

    • Franz Porzsolt, Heike Leonhardt-Huober
    Pages 35-43

  7. Evidence-based Medicine and Clinical Guidelines in Cardiology. Promoting Science, Practice, or Bureaucracy?

    • Frank Praetorius
    Pages 45-60

  8. Are Particular Patients Disadvantaged by EBM? Focus on Frail Elderly Patients

    • Fabrizio Fabris, Carla Scarafiotti, Barbara Maero
    Pages 61-64

  9. Evidence-based Medicine in Mental Health: Towards Better and Fairer Treatment?

    • Andreas Reis, Christian Lenk, Cristiane Reis-Streussnig, Nikola Biller-Andorno
    Pages 65-75

  10. Current Epistemological Problems in Evidence-based Medicine

    • Richard E. Ashcroft
    Pages 77-85

  11. Coordinating the Norms and Values of Medical Research, Medical Practice and Patient Worlds. The Ethics of Evidence-based Medicine in ‘Boundary Fields of Medicine’

    • Rein Vos, Dick Willems, Rob Houtepen
    Pages 87-95

  12. Research Ethics and Evidence-based Medicine

    • Reidar K. Lie
    Pages 97-103

  13. Clinical Evaluative Research: Which Patients Benefit, How and When? A Contribution to a European Discussion

    • Heiner Raspe
    Pages 105-115

  14. Defining a Proper Background for Discussing Evidence-based Medicine

    • Alessandro Liberati, Paolo Vineis
    Pages 117-127

  15. Evidence-based Medicine and Equity: The Exclusion of Disadvantaged Groups

    • Wendy A. Rogers
    Pages 129-138

  16. The Role of Formal Outcome Evaluations in Health Policy Making: A Normative Perspective

    • Ole F. Norheim
    Pages 139-149

  17. The Usefulness of Formal Outcome Evaluations in Health Policy Making: Looking for the Baby in the Bathwater

    • Erik Nord
    Pages 151-161

  18. Evidence-based Medicine and Managed Care

    • Marion Danis
    Pages 163-172

  19. Recommendations from the Evibase Project

    • Rob Houtepen, Nikola Biller-Andorno, Donna Dickenson, Paolo Vineis, Reidar Lie, Ruud ter Meulen
    Pages 173-176

  20. Back Matter

    Pages 177-184
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Keywords

About this book

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.

Reviews

From the reviews:

"The editors of Evidence-based Practice in Medicine & Health Care have been able to gather a number of well known and respected authors to contribute to the field of EBM and health care … . The book comprises various viewpoints and approaches in the context of EBM and ethical principles, and the tension between science, law and medical responsibility. … the book can be highly recommended not only for clinicians, researchers and educators, but anybody involved in the field of evidence-based medicine and healthcare." (K. Boening, Journal of Public Health, Vol. 14, 2006)

Editors and Affiliations

  • Instituut voor Gezondheidsethiek, Universiteit Maastricht, ER Maastricht, Germany

    Ruud Meulen

  • Professur f. Medizinethik, Charité — Universitätsmedizin Berlin, Berlin, Germany

    Nikola Biller-Andorno

  • Abt. Ethik und Geschichte der Medizin, Universität Göttingen, Goettingen, Germany

    Christian Lenk

  • Department of Clinical Bioethics, National Institutes of Health, Bethesda, USA

    Reidar K. Lie

Bibliographic Information

  • Book Title: Evidence-based Practice in Medicine and Health Care

  • Book Subtitle: A Discussion of the Ethical Issues

  • Editors: Ruud Meulen, Nikola Biller-Andorno, Christian Lenk, Reidar K. Lie

  • DOI: https://doi.org/10.1007/b138662

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer-Verlag Berlin Heidelberg 2005

  • Softcover ISBN: 978-3-540-22239-2Published: 24 March 2005

  • eBook ISBN: 978-3-540-27133-8Published: 14 December 2005

  • Edition Number: 1

  • Number of Pages: VI, 184

  • Topics: Medicine/Public Health, general, Public Health

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