Evidence-Based Medicine and the Search for a Science of Clinical Care

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University of California Press, May 11, 2005 - Medical - 290 pages
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Patient management is the central clinical task of medical care. Until the 1970s, there was no generally accepted method of ensuring a scientific, critical approach to clinical decision making. And while traditional clinical authority was under attack, there was increasing concern about the way in which doctors made decisions about patient care. In this book, Jeanne Daly traces the origins, essential features, and achievements of evidence-based medicine and clinical epidemiology over the past few decades. Drawing largely on interviews with key players, she offers unique insights into the ways that practitioners of evidence-based medicine set out to generate scientific knowledge about patient care and how, in the process, they reshaped the way medicine is practiced and administered.
 

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Contents

Introduction Evidence Science and Certainty
1
Clinical Epidemiology The Intellectual Heritage
20
The Discipline of Clinical Epidemiology
49
The Rise of EvidenceBased Medicine
75
An Appraisal with Critique
102
The British Intellectual Heritage
128
The Cochrane Collaboration
154
The Cochrane Collaboration in South Africa
182
Achievements and Limitations
206
The Continuing Search for a Science of Clinical Care
235
Bibliography
245
Index
265
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About the author (2005)

Jeanne Daly is co-editor of the Australian and New Zealand Journal of Public Health and Adjunct Professor in the Mother & Child Health Research Centre at La Trobe University, Melbourne. She is the coauthor of Technologies and Health: Critical Compromises (2001), The Public Health Researcher: A Methodological Guide (1997), Reinterpreting Menopause: Cultural and Philosophical Issues (1997), Ethical Intersections: Health Research, Methods, and Researcher Responsibility (1996), and Researching Health Care: Designs, Dilemmas, and Disciplines (1992).

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