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Opposing Views

Directory > Health > Medicine > Evidence_Based_Medicine > Opposing Views

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False dichotomies: EBM, clinical freedom, and the art of medicine - http://mh.bmj.com/cgi/content/full/31/1/23
A critical evaluation of the oft-cited criticism of evidence-based medicine as constraining clinical freedom and potentially compromising patient welfare. Published: 03/01/05. [Requires registration.]

Evidence-Based Medicine in the Intensive Care Unit: A Debate - http://doctor.medscape.com/viewarticle/455749
Pro and con viewpoints on the question of whether EBM erodes the doctor-patient relationship and adversely affects the artistic and creative aspects of medicine. From conference held March 18 - 21, 2003. [Requires registration.]

Does "Evidence-Based Medicine" Diminish the Physician's Role? - http://www.medscape.com/viewarticle/549329_print
A roundtable discussion of whether EBM is "microfascism", as recently charged by a former NIH director and others. Published: 01/05/07. [Requires registration.]

A philosophical analysis of the evidence-based medicine debate - http://www.biomedcentral.com/content/pdf/1472-6963-3-14.pdf
A review of criticisms of EBM as being founded on a lack of clarity and precision by EBM's own proponents.

Deconstructing the evidence-based discourse in health sciences: truth, power and fascism - http://www.ucl.ac.uk/Pharmacology/dc-bits/holmes-deconstruction-ebhc-06.pdf
The article that initiated the critical controversy surrounding the claim that EBM represents an exclusionary "regime of power".

Evidence-based medicine: a commentary on common criticisms - http://www.cmaj.ca/cgi/content/full/163/7/837
Review of the most commonly leveled charges against, and misperceptions about, evidence-based medicine, with proposed solutions to real limitations.

Criticisms of evidence-based medicine - http://medir.ohsu.edu/~hersh/ebcm-04-ebm.pdf
Brief review of five major types of criticisms of EBM.

A categorization and analysis of the criticisms of Evidence-Based Medicine - http://medir.ohsu.edu/~hersh/ijmi-04-ebm.pdf
An examination and assessment of a decade of criticisms of EBM.

The pragmatic randomised controlled trial - http://apt.rcpsych.org/cgi/content/full/8/5/326
A critique of conventional randomized controlled trials methodology, and an attempt to incorporate more complex interventions via a new 'pragmatic RCT'.

The case against 'the evidence': a different perspective on evidence-based medicine - http://bjp.rcpsych.org/cgi/content/full/180/1/8?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&andorexactfulltext=and&searchid=1127920476751_4679&stored_search=&FIRSTINDEX=0&sortspec=relevance&volume=180&firstpage=8&resourcetype=1
A psychiatrist's critique that over-emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care.

Is Evidence-Based Medicine Relevant to the Developing World? - http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0020107
Argues and discusses the reasons for the limited relevance of systematic reviews to frontline health care workers in developing countries.

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