Ethics and Evidence-Based Medicine: Fallibility and Responsibility in Clinical Science

Description

The growth of evidence-based medicine has occurred against a backdrop of health care reform, managed care, cost containment, and quality improvement. Clinicians have been urged to adopt the rigors of science while remaining true to their 'clinical judgment'. This incisive book reviews the history and conceptual origins of evidence-based practice and discusses key ethical issues that arise in clinical practice, public health, and health policy. It is essential reading for all physicians, and practitioners in epidemiology and public health.

Kenneth W. Goodman is founder and director of the University of Miami's Bioethics Program and its Pan-American Bioethics Initiative. He is also co-director of the University's Program in Business, Governmental and Professional Ethics, and holds appointments in the Departments of Medicine, Philosophy, Epidemiology and Public Health, and the School of Nursing. He is editor of Ethics, Computing and Medicine (Cambridge, 1998), and the author of many articles in bioethics, the philosophy of science and computing.

'Goodman's book is well worth reading by anyone interested in health policy, EBM, and research synthesis. It is lucid and elegantly written.' The Lancet 'Goodman understands the history and sociology of EBM very well, and dissects it admirably ... It will be enjoyable and useful for people who are looking for a field guide to a large number of philosophical topics relevant to EBM ...' Journal of the Philosophy of Science Association 'This is definitely a useful book, and easy to read, yet asking the reader to think and learn.' Nursing Ethics 2003 'This is a well-written and readable book. Despite the complexity of some of the arguments, the language of the book is down-to-earth and intelligible. Every effort is made to make the book accessible to the passing reader - it is the sort of book you could pick up and put down, or read on the train. This is not to say it is a lightweight analysis, but rather to say that it aims at getting the message across to all those involved in health practice and research rather than at providing an academic reference book ... anyone who wants to know and understand the content and context of EBM would be well advised to read it. This is a valuable contribution to the EBM debate ...' Public Health