scholarly journals Evidence-based or person-centered? An ontological debate

2016 ◽  
Vol 4 (2) ◽  
pp. 421 ◽  
Author(s):  
Rani Anjum
Keyword(s):  
Evidence Based Medicine ◽  
Prima Facie ◽  
Evidence Based ◽  
Biomedical Model ◽  
Practice Of Medicine ◽  
Solid Foundation ◽  
Medical Paradigm ◽  
Based Medicine ◽  
The Way

Evidence-based medicine (EBM) continues to be vigorously debated and person-centered healthcare (PCH) has been proposed as an improvement. But is PCH offered as a supplement to or as a replacement of EBM? Prima facie PCH only concerns the practice of medicine, while the contended features of EBM also include specific methods and the biomedical model. In this paper I argue that there are good philosophical reasons to see PCH as a radical alternative to the existing medical paradigm of EBM, since the two seem committed to conflicting ontologies. I will aim to make explicit some of the most fundamental assumptions that motivate EBM and PCH in order to show that the choice between them ultimately comes down to ontological preference. While EBM has a solid foundation in positivism, or what I here call Humeanism, PCH is more consistent with causal dispositionalism. I conclude that if there is a paradigmatic revolution on the way in medicine, it is first of all one of ontology.

The principles of evidence-based medicine

2021 ◽  
pp. 1268-1278
Author(s):  
Miriam J. Johnson ◽  
David C. Currow
Keyword(s):  
Palliative Care ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Care Providers ◽  
Personalized Care ◽  
Practice Of Medicine ◽  
Increasing Demand ◽  
Medical Disciplines ◽  
Based Medicine ◽  
Dominant Paradigm

Evidence-based medicine (EBM) has transformed clinicians’ approach to the practice of medicine. In most disciplines, EBM is the fundamental component of decision-making driving expectations of the care received by patients and families. To improve outcomes, EBM blends science and compassion to provide personalized, effective treatments, and consistent application of interventions. The ever-increasing demand for palliative care will continue unabated due to longer lifespans and a shift in the approach to disease from primarily acute illnesses to predominantly chronic conditions. The adoption of EBM by palliative care providers will advance the knowledge and practice base, elevating its position among other medical disciplines that have adopted EBM as the dominant paradigm. The framework of EBM informs a systematic and manageable approach to the overwhelming amount of available evidence. Patients will benefit from EBM practices when palliative care practitioners provide the most effective and personalized care tailored each patient’s needs, characteristics, and preferences.

scholarly journals The ACP Evidence-Based Guide to Complementary and Alternative Medicine

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Sungmi Lian
Keyword(s):  
Quality Of Care ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Evidence Based Medicine ◽  
Published Data ◽  
Evidence Based ◽  
Practice Of Medicine ◽  
Based Medicine ◽  
Complementary And Alternative

Complementary and alternative medicine (CAM) is no longer new terminology in the healthcare system but,evidence-based CAMis still an unfamiliar term. Evidence-based medicine, a practice of medicine based on the recommendation derived from a systematic, scientific study of published data, is accepted as the standard in the healthcare.ACP Evidence-Based Guide to Complementary and Alternative Medicineby Bradly Jacobs and Katherine Gundling is reviewed. Up-to-date reference books like theACP Evidence-Based Guide to Complementary and Alternative Medicineis an essential tool for improving quality of care when the providers aim to practice evidence-based medicine.

scholarly journals The feasibility and malleability of EBM+

2020 ◽  
Author(s):  
Jon Williamson
Keyword(s):  
Evidence Based Medicine ◽  
Association Studies ◽  
Evidence Based ◽  
Mechanistic Studies ◽  
Medical Interventions ◽  
Based Medicine ◽  
Made In ◽  
The Way

The EBM+ programme is an attempt to improve the way in which present-day evidence-based medicine (EBM) assesses causal claims: according to EBM+, mechanistic studies should be scrutinised alongside association studies. This paper addresses two worries about EBM+: (i) that it is not feasible in practice, and (ii) that it is too malleable, i.e., its results depend on subjective choices that need to be made in order to implement the procedure. Several responses to these two worries are considered and evaluated. The paper also discusses the question of whether we should have confidence in medical interventions, in the light of Stegenga's arguments for medical nihilism.

Methodists

2017 ◽  
Author(s):  
Marquis Berrey
Keyword(s):  
Internal Medicine ◽  
Causal Inference ◽  
Medical History ◽  
Evidence Based Medicine ◽  
Late Antiquity ◽  
Evidence Based ◽  
Imperial Period ◽  
Practice Of Medicine ◽  
General Similarity ◽  
Based Medicine

Methodists were a self-identified medical sect of the 1st century bce, Imperial period, and late antiquity who shared a common method of observation and causal inference about the practice of medicine. Methodists took their name from the “method” (Gk. methodos), an observable path or evidence-based medicine which the physician undertook to gain secure therapeutic knowledge. The path was supposed to reveal the general similarity between patients’ ostensibly differing conditions. Three similarities, or “commonalities,” as they were called, were possible: fluid, constricted, or a mixture of the two. Opponents pilloried Methodists for the loose logic of their methodological revolution and socially disruptive claims to teach medicine within six months. Primarily a Roman phenomenon, the popularity of Methodism seems to have been due to a ready supply of practitioners and its focus on certain, fast therapy. Methodists wrote chiefly on internal medicine, surgery, and medical history.

Psychiatry: Evidence-Based but Still Value-Laden

1997 ◽  
Vol 171 (3) ◽  
pp. 226-226 ◽  
Author(s):  
Ian Anderson
Keyword(s):  
Evidence Based Medicine ◽  
Evidence Based ◽  
Moral Imperative ◽  
Opposing View ◽  
Based Medicine ◽  
The Way

The directive that we should be ‘for evidence-based medicine’ has the same moral imperative as Queen Elizabeth's affirmation that she is ‘against sin’. It seems impossible to take an opposing view without abandoning reason or at least ethics. And yet a feeling of uneasiness, or at least caution, stands in the way of wholehearted endorsement – why?

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