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

by Kenneth W. Goodman

• ISBN13: 9780521796538
• ISBN10: 0521796539
• Format: Paperback
• Copyright: 2002-12-23
• Publisher: Cambridge University Press

Summary

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.

Author Biography

Kenneth W. Goodman is founder and director of the University of Miami's Bioethics Program and its Pan-American Bioethics Initiative.

Table of Contents

Preface	ix
Acknowledgments	xii
Foundations and history of evidence-based practice	1	(22)
The research synthesis revolution	23	(18)
Evidence of evidence, and other conceptual challenges	41	(26)
Human subjects, the Internet, databases, and data mining	67	(24)
Evidence at the bedside	91	(22)
Public health policy, uncertainty, and genetics	113	(16)
Ethics and evidence	129	(12)
References	141	(24)
Index	165