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Evidence-based medicine : best practice or restrictive dogma

Author: Desmond J Sheridan
Publisher: London ; Hackensack, NJ : Imperial College Press, [2016]
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:

The concept of evidence-based medicine was launched in 1991 as a new paradigm to inform medical practice and has risen to be regarded as the gold standard.

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Genre/Form: Electronic books
Additional Physical Format: Print version:
Sheridan, Desmond J. (Desmond John).
Evidence-based medicine.
[London] ; New Jersey : Imperial College Press, [2016]
(DLC) 2015048799
(OCoLC)932302002
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Desmond J Sheridan
ISBN: 9781783267637 1783267631
OCLC Number: 1066692779
Description: 1 online resource (ix, 218 pages) : illustrations
Contents: Preface; Chapter 1 The Origins of Evidence-Based Medicine; EBM: Brand New or New Branding?; EBM: The McMaster Model; Efforts to Build Medicine Based on Evidence from the 18th Century; Summary; References; Chapter 2 Evidence-Based Medicine in the UK; Thomas McKeown; Archie Cochrane; Summary; References; Chapter 3 The Cochrane Collaboration; Funding; Future Challenges; Mission Creep; Efficiency; Science or Market Research?; Is it Science?; The Tamiflu Saga; Summary; References; Chapter 4 Evidence-Based Medicine and the Evolution of Health Related Research; Historical Context. The Haldane PrincipleMedical Research Council; Medical Research; The National Health Service (NHS); Medical Progress, Increasing Complexity and Costs; Health Services Research; Medical Research and Health Policy; The Rothschild Report; Rothschild in Reverse; NHS Reforms; House of Lords Select Committee on Science and Technology; National Health Research Authority (NHRA); The Rise of Health Services Research; The NHS R & D Programme and the Founding of EBM in the UK; EBM; Medical Research; Conclusions; References. Chapter 5 Hypothesis, Evidence, Knowledge and Reasoning in Medicine: Certainty and UncertaintyEvidence in Medicine; Prophylactic Use of Anti-Flu Drugs Controversy; Best Evidence in Medicine; Hierarchies of Evidence --
A Failed Enterprise; Evidence and Interpretation; EBM and Myth-Making Rhetoric; Clinical Judgement versus Mechanical Rules; Mechanical Rules and Public Health Screening; Diagnostic Criteria; Duckett Jones Diagnostic Criteria for Rheumatic Fever; The Role of Evidence in Clinical Judgement; Expert Opinion and Clinical Judgement; Mechanistic Reasoning and EBM. Mechanistic Reasoning and Clinical MedicineConclusions; References; Chapter 6 Evidenced-Based Medicine and Medical Science; Medical Science and Clinical Practice are Intimately Related and Interdependent; EBM: Impact on Science; Medical Science: Data Sets versus Hypothesis and Reasoning; John Snow's Discovery of Water Borne Cholera: Truth is Richer than Myth; Data without Reason becomes a Fog; The Problem of Antibiotic Resistance; Contrasting US and UK Approaches; How Penicillin was Discovered and Developed; Meeting the Challenge; Then and Now. Problems Seeking Solutions versus Solutions Seeking ProblemsConclusions; References; Chapter 7 Impact of Evidence-Based Medicine on Clinical Practice: Achievements and Limitations; EBM: Impact of Medicine; Clinical Guidelines; National Institute for Clinical Excellence (NICE); Impact of Guidelines in Clinical Practice; Wider Impact of EBM; Full Disclosure of Clinical Trials; Overdiagnosis in Medicine; EBM: Unintended Consequences; What Evidence?; Value of Evidence and Evidence of Value; Bias of the Easily Measurable; "Real EBM" --
A New Iteration of EBM?; Conclusions; References.
Other Titles: Evidence-based medicine (Online)
Responsibility: Desmond J. Sheridan, Imperial College London, UK.

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