The future of scientific medicine

Davidoff, Frank
August 1998
CMAJ: Canadian Medical Association Journal;08/11/98, Vol. 159 Issue 3, p243
Academic Journal
Editorial. Responds to an article by Olli Miettinen which addressed issues surrounding the application of scientific evidence to the practice of medicine. Miettinen's distinction between specific and general evidence; Objective of clinical research; Discipline of decision analysis; Experience of so-called line decision-makers; Use of the theory of gnosis; Importance of research protocol.


Related Articles

  • The grammar of interpretive medicine. Horton, Richard // CMAJ: Canadian Medical Association Journal;08/11/98, Vol. 159 Issue 3, p245 

    Editorial. Questions whether the practice and science of medicine can be reconciled. Response to an article by Olli Miettinen; Miettinen's separation of evidence into two categories; Rejection of meta-analysis; Need for better skills for reflective clinical practice; Need to reason...

  • Decision analysis and the implementation of research findings. Lilford, R.J.; Pauker, S.G.; Braunholtz, D. A.; Chard, Jiri // BMJ: British Medical Journal (International Edition);08/08/98, Vol. 317 Issue 7155, p405 

    Presents a study on the use of decision based analysis when researching evidence based medicine. Provisions of decision analysis; Description of decision analysis; Highlights of key definitions in decision analysis. INSETS: Summary points;Key decisions in decision analysis.

  • Searching for the right evidence: how to answer your clinical questions using the 6S hierarchy. Windish, Donna // Evidence Based Medicine;Jun2013, Vol. 18 Issue 3, p93 

    The article discusses the use of the 6S model to search and assess the evidence available in clinical decision making. It discusses the strengths and weaknesses of all six levels as well as sample resources. The six levels of hierarchy in the model beginning at the base of the pyramid are...

  • Plural forms of evidence in public health: tolerating epistemological and methodological diversity. Lambert, Helen // Evidence & Policy: A Journal of Research, Debate & Practice;Jan2013, Vol. 9 Issue 1, p43 

    What counts as 'evidence' is a question that has been explored in many arenas, but it has been a particular focus of debate in the health sector, where the notion of systematically appraising data about the effectiveness of interventions in order to inform everyday practice was first...

  • Logical empiricism in anesthesia: A step forward in modern day clinical practice. Bajwa, Sukhminder Jit Singh; Kalra, Sanjay // Journal of Anaesthesiology Clinical Pharmacology;Apr2013, Vol. 29 Issue 2, p160 

    The authors propose the use of logical empiricism in anesthesiology. The approach combines observational evidence with mathematical/logical theories and includes elements of both experience-based decision-making and evidence-based medicine. It accepts that the anesthetist is aware of the...

  • Evidence-Based Coverage Decisions? Primum Non Nocere. McElwee, Newell E.; Ho, S. Yin; McGuigan, Kimberly A.; Horn, Mark L. // Health Affairs;2006 Web Exclusives Supplement, Vol. 25, pW279 

    Drug class reviews are blunt tools for medical decision making. The practice of evidence-based medicine is far more than simply systematic reviews: The patient and doctor are integral. Here we highlight areas of evidence-based coverage decision making where greater balance and transparency could...

  • Why do we always end up here? Evidence-based medicine's conceptual cul-de-sacs and some off-road alternative routes. Greenhalgh, Trisha // Journal of Primary Health Care;Jun2012, Vol. 4 Issue 2, p92 

    The article focuses on the concept of evidenced-based medicine (EBM). The author defines EBM as the use of mathematical estimates of the chance of benefit and the risk of harm in clinical decision making. It notes that decisions should be made from the results of high-quality research on...

  • When you need to know: the Obstetric Anaesthesia Scientific Evidence Project. SIMMONS, S. W. // Anaesthesia & Intensive Care;May2009, Vol. 37 Issue 3, p351 

    The author reflects on the development of evidence-based medicine (EBM) in Australia. It is believed that the traditional apprenticeship approach to learning with observation from clinical experience would be inadequate. The impact of the Internet on the implementation of EBM is explored, as...

  • Editorial. Reynolds, James D. // American Orthoptic Journal;2010, Vol. 60, preceding p1 

    The article discusses various reports on evidence-based medicine published within the issue.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics