Can evidence-based medicine implicitly rely on current concepts of disease or does it have to develop its own definition?
- PMID: 17601866
- PMCID: PMC2598145
- DOI: 10.1136/jme.2006.017913
Can evidence-based medicine implicitly rely on current concepts of disease or does it have to develop its own definition?
Abstract
Decisions in healthcare are made against the background of cultural and philosophical definitions of disease, sickness and illness. These concepts or definitions affect both health policy (macro level) and research (meso level), as well as individual encounters between patients and physicians (micro level). It is therefore necessary for evidence-based medicine to consider whether any of the definitions underlying research prior to the hierarchisation of knowledge are indeed compatible with its own epistemological principles.
Conflict of interest statement
Competing interests: None.
Similar articles
-
Evidence-based medicine and ethics: a practical approach.J Med Ethics. 2004 Apr;30(2):126-30. doi: 10.1136/jme.2003.007211. J Med Ethics. 2004. PMID: 15082803 Free PMC article. Review.
-
Medicine as an essentially contested concept.J Med Ethics. 2003 Aug;29(4):261-2. doi: 10.1136/jme.29.4.261. J Med Ethics. 2003. PMID: 12930870 Free PMC article.
-
Evidence-based medicine and epistemological imperialism: narrowing the divide between evidence and illness.J Eval Clin Pract. 2011 Oct;17(5):868-72. doi: 10.1111/j.1365-2753.2011.01723.x. Epub 2011 Aug 4. J Eval Clin Pract. 2011. PMID: 21815969
-
An objectivist's view on the ethics of evidence-based medicine: commentary on 'A critical appraisal of evidence-based medicine: some ethical considerations' (Gupta 2003; Journal of Evaluation in Clinical Practice 9, 111-121).J Eval Clin Pract. 2003 May;9(2):137-9. doi: 10.1046/j.1365-2753.2003.00401.x. J Eval Clin Pract. 2003. PMID: 12787175 No abstract available.
-
Underdetermination in evidence-based medicine.J Eval Clin Pract. 2014 Dec;20(6):921-7. doi: 10.1111/jep.12258. Epub 2014 Nov 19. J Eval Clin Pract. 2014. PMID: 25406418 Review.
Cited by
-
Norwegian physicians' knowledge of and opinions about evidence-based medicine: cross-sectional study.PLoS One. 2009 Nov 13;4(11):e7828. doi: 10.1371/journal.pone.0007828. PLoS One. 2009. PMID: 19915708 Free PMC article.
References
-
- Hofmann B. Complexity of the concept of disease as shown through rival theoretical frameworks. Theor Med 200122211–236. - PubMed
-
- Liberati A, Vineis P. Defining a proper background for discussing evidence‐based medicine. In: Meulen RT, Biller‐Andorno N, Lenk C, et al, eds. Evidence‐based practice in medicine and health care. A discussion of ethical issues. Berlin: Springer, 2005
-
- Bobbert M. Die Problematik des Krankheitsbegriffs und der Entwurf eines moralisch‐informativen Krankheitsbegriffs im Anschluss an die Moralphilosophie von Alan Gewirth. Ethica 20008405–440.
-
- In: Mazouz N, Werner MH, Wiesing U, eds. Krankheitsbegriff und Mittelverteilung. Beiträge zum Gesundheitsmanagement Bd. 8. Baden‐Baden: Nomos Verlagsgesellschaft, 2004
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources