Evidence-based Medicine: Best Practice Or Restrictive Dogma


Book Description

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. It rapidly gained the attention of medics, health service managers and the general media as it presented a means to improve efficiency and effectiveness of service delivery. Despite its stunning success in capturing the health agenda, the campaign that launched evidence-based medicine has also attracted criticism, particularly from clinicians and philosophers concerned about its selective views of knowledge and evidence, and for its denigration of reasoning, clinical experience and judgement.Evidence-Based Medicine traces this movement from its launch to its meteoric rise, examining what it has done for healthcare and medicine in the context of changes in science policy and the long-running criticism held against the movement for its inherent weaknesses.As evidence-based medicine will remain an important feature of healthcare in the decades to come, this book is perfect for healthcare professionals, medical scientists, health service managers and public health experts looking for a critical examination of the topic.




Evidence-Based Medicine


Book Description




Evidence-Based Medicine Guidelines


Book Description

Evidence-Based Medicine Guidelines fills the demand for a handbook discussing the diagnosis and treatment of a wide range of diseases and conditions encountered by health care professionals. The title was first published in Finland by the Finnish Medical Society, where it is now considered to be the single most important support tool for the physicians' decision making in their daily work. What sets EBM Guidelines apart from competing books? Provides physicians with fast and easy access to practice guidelines based on the best available research evidence Covers practically all medical conditions encountered in general practice Developed by over 300 experienced general practitioners and specialists worldwide Includes both diagnostic and therapeutic guidelines, and recommendations on diagnostic tests and drug dosage Presented in a user-friendly format with self contained chapters based on clinical subjects Clear and concise explanations of all available evidence results in the guideline for treatment The strength of evidence is graded from A-D making this title a quick and easy reference whenever and wherever you need it! Assumes no prior knowledge of EBM or statistics - all the work of searching and appraisal has been done for you! Seeks to include guidelines where clinical evidence is incomplete or unavailable Contains full-colour photographs and tables throughout Easy-to-read and fast support at the point of care - EBM Guidelines: Summarises the best available evidence - Cochrane reviews - DARE abstracts - Clinical Evidence topics - original articles in medical journals - abstracts in the Health Technology Assessment Database - NHS Economic Evaluation Evaluates and grades the strength of all individual evidence from A (Strong research-based evidence) to D (No scientific evidence) Suggests guidelines based on clinical evidence. If clinical evidence is inadequate or missing, an expert panel evaluate all other available information and suggests the appropriate guideline With over 1000 problem-orientated or disease-specific guidelines including reference to evidence summaries for all guidelines, this title is the most extensive collection of guidelines for primary care today. Here are just a few examples of the raving reviews for Evidence-Based Medicine Guidelines: "An excellent resource... quick to use, even during consultations...very helpful to check whether our preferred diagnostic and therapeutic methods are adequate...competent suggestions based on real evidence..." —Heinz Bhend, PRIMARY CARE "clinically useful answers...easy-to-read ...this resource is worth using..." —Carl Heneghan, Centre for Evidence-Based Medicine, Oxford, UK, EVIDENCE-BASED MEDICINE Journal




Users' Guides to the Medical Literature: Essentials of Evidence-Based Clinical Practice, Second Edition


Book Description

The “essential” companion to the landmark Users' Guides to the Medical Literature - completely revised and updated! 5 STAR DOODY'S REVIEW! "This second edition is even better than the original. Information is easier to find and the additional resources that will be available at www.JAMAevidence.com will provide readers with a one-stop source for evidence-based medicine."--Doody's Review Service Evidence-based medicine involves the careful interpretation of medical studies and its clinical application. And no resource helps you do it better-and faster-than Users' Guides to the Medical Literature: Essentials of Evidence-Based Clinical Practice. This streamlined reference distills the most clinically-relevant coverage from the parent Users' Guide Manual into one highly-focused, portable resource. Praised for its clear explanations of detailed statistical and mathematical principles, The Essentials concisely covers all the basic concepts of evidence-based medicine--everything you need to deliver optimal patient care. It's a perfect at-a-glance source for busy clinicians and students, helping you distinguish between solid medical evidence and poor medical evidence, tailor evidence-based medicine for each patient, and much more. Now in its second edition, this carry-along quick reference is more clinically relevant--and more essential--than ever! FEATURES Completely revised and updated with all new coverage of the basic issues in evidence-based medicine in patient care Abundant real-world examples drawn from the medical literature are woven throughout, and include important related principles and pitfalls in using clinical research in patient care decisions Edited by over 60 internationally recognized editors and contributors from around the globe Also look for JAMAevidence.com, a new interactive database for the best practice of evidence based medicine.




Evidence-based Medicine


Book Description

Explains how to apply the key principles of evidence-based practice to clinical work.




Crash Course Evidence-Based Medicine: Reading and Writing Medical Papers Updated Edition - E-Book


Book Description

Crash Course - your effective everyday study companion PLUS the perfect antidote for exam stress! Save time and be assured you have all the core information you need in one place to excel on your course and achieve exam success. A winning formula now for over 15 years, each volume has been fine-tuned to make your life easier. Especially written by junior doctors - those who understand what is essential for exam success - with all information thoroughly checked and quality assured by expert Faculty Advisers, the result is a series of books which exactly meets your needs and you know you can trust. This essential recent addition to the series clearly brings together the related disciplines of evidence-based medicine, statistics, critical appraisal and clinical audit - all so central to current study and to modern clinical practice. It starts with the basics that every student needs to know and continues into sufficient detail to satisfy anyone contemplating their own research studies. Excel in Student Selected Component (SSC) assessments and that dreaded evidence-based medicine and statistics exam! Ensure you know how to prepare the highest quality reports and maximize your chances of getting published. If you are not sure: why you need to know the standard deviation of a sample when to use a case-control study and when a cohort study what to say to your patient who asks about the benefits and harms of a drug how to argue the case for the inclusion of a drug on the hospital formulary how to make audit and quality improvement work for you, ...then this groundbreaking book is for you! Answer these and hundreds of other questions and lay a foundation for your clinical practice that will inform every consultation over a lifetime in medicine.




Science and Logic in Medical Diagnosis


Book Description

Clinicians and patients know the importance of correct diagnosis for proper treatment. So important – a correct diagnosis – it is the first theme of this book. Several other themes are also important. A second theme is established as “cause and effect,” common or peculiar linked entities in at least some humans. A third theme deals with probabilities, both objective and statistical and/or subjective probabilities. The fourth theme covers the inhomogeneity among all humans. That is, all people are unique. Is science a theme? Not of this kind. Instead, science encompasses all of the themes above and others. Logic holds their framework. The diagnostic model above has been modified by allowing wider scope of inference similar to the earlier “differential diagnoses” model. A quite radical model called “Evidence-Based Medicine (EBM),” was created about thirty years ago. Its advocates depend largely on statistics, with little interest in science. Discussion and comparisons with traditional and EBM models argue here undesirable shortcomings of the latter. Far from dismissing science, but robust medical science, knowledge, experience and professional clinicians continues in caring her/his individual patients.




Evidence-Based Medicine


Book Description

Evidence-based medicine is defined as the conscientious explicit and judicious use of current best evidence in making decisions about the care of individual patients. This superb collection will take a critical view of this concept and examine the economic implications of its imposition.




Evidence-Based Medicine Toolkit


Book Description

This bestselling pocket guide to the skills of evidence-basedmedicine succeeds in demystifying the terminology and processes ina handy and easy-to-follow format, all within the space of 100pages. With an improved layout, this second edition ofEvidence-based Medicine Toolkit offers more up-to-dateguidance as well as new sections on important areas ofresearch. New features of this second edition include: A box for each major database showing how to search theevidence, and highlighting the differences between them Flow charts for different study types New critical appraisal sections on qualitative research andeconomic evaluation Expanded list of EBM resources on the net. With these added features to make the job easier, the newToolkit is now an even better companion for all health careprofessionals using evidence-based methodology in their researchand practice.




The Hermeneutics of Medicine and the Phenomenology of Health


Book Description

This is the first monograph to deal with medicine as a form of hermeneutics, now in a thoroughly revised and updated edition, including a whole new chapter on medical ethics. The book offers a comprehensive philosophical argument why good medical practice cannot be curtailed to scientific investigations of the body but is a form of clinical hermeneutics performed by health-care professionals in dialogue with their patients. Medical hermeneutics is rooted in a phenomenology of illness which acknowledges and proceeds from the ill party’s bodily feelings, everyday life-world circumstances and self-understanding in aiming to restore health. The author shows how the works of classical phenomenologists and hermeneuticians – Martin Heidegger, Maurice Merleau-Ponty, Hans-Georg Gadamer and Paul Ricoeur – may be employed to understand how medical diagnosis is enveloped by professional empathy and clinical judgement and developed by scientific investigations of the patient’s bodily condition. Health and illness are ultimately considered to be ways of feeling at home or not at home in the world, and such experiences are the starting point of medical hermeneutics when aiming to make best use of scientific knowledge. The book is aimed at researchers and teachers in philosophy of medicine and medical ethics, and at physicians, nurses and other health-care professionals meeting with patients in ethically complex and challenging situations. Phenomenology and hermeneutics, most often considered as methods belonging to the humanities, are shown to be of vital importance for the understanding of medical practice and ethical dilemmas of health care.