| Narrative evidence and evidence-based medicine. | |
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MedLine Citation:
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PMID: 20367872 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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I argue that evidence-based medicine (EBM) imposes methodological limits that constrain the practice and study of medicine in unfortunate ways. EBM attempts to rid the study of medicine of the subjectivity of individual judgements, while in fact, any use of any kind of evidence requires judgement. On this basis, I argue that there are compelling reasons to broaden the range of evidence employed in EBM, and in particular, to include both straightforward and evaluative narratives. This would mark a shift from the current focus of EBM on purely quantitative data to the inclusion of qualitative data as well. I conclude by emphasizing that objectivity in medicine must come not from the exclusion of wide swaths of potentially valuable evidence, but from the careful application of our critical practices. |
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Authors:
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Cheryl J Misak |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of evaluation in clinical practice Volume: 16 ISSN: 1365-2753 ISO Abbreviation: J Eval Clin Pract Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-06 Completed Date: 2010-07-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609066 Medline TA: J Eval Clin Pract Country: England |
Other Details:
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Languages: eng Pagination: 392-7 Citation Subset: IM |
Affiliation:
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University of Toronto, Toronto, Canada. cheryl.misak@utoronto.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Evidence-Based Medicine* Humans Judgment* Randomized Controlled Trials as Topic |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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