Evidence-Based Medicine and the Search for a Science of Clinical Care
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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Introduction Evidence Science and Certainty
Clinical Epidemiology The Intellectual Heritage
The Discipline of Clinical Epidemiology
The Rise of EvidenceBased Medicine
An Appraisal with Critique
The British Intellectual Heritage
The Cochrane Collaboration
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academic addressing Alvan Feinstein analysis approach Archie Cochrane argues based medicine biomedical Biostatistics Canada challenge clin clinical decision clinical epi clinical epidemiology clinical practice clinicians Cochrane Centre Cochrane Collaboration Cochrane's colleagues commitment concern consumers David Sackett demiology dence diagnosis disciplines disease doctors effective Elwood Enkin evaluation evidence evidence-based medicine focus focused funding Gordon Guyatt guidelines Guyatt Haynes health policy health services research Hirsh hospital Iain Chalmers ical important interest interventions interviews involved issues Jack Hirsh Jerry Morris Kerr White laboratory McMaster University medical school medical training ment meta-analysis methodological methods Morris National Health Service outcome paradigm patients policy makers political population practitioners problem produced public health randomized controlled trial role says scientific social medicine South Africa systematic reviews tion Torrance treatment Tugwell United Kingdom Volmink Wulff Zwarenstein