Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Med Ethics. 2004 Apr;30(2):171-5.

Evidence based medicine guidelines: a solution to rationing or politics disguised as science?

Author information

  • 1National Public Health Institute, Helsinki, Finland. samuli.saarni@helsinki.fi

Abstract

"Evidence based medicine" (EBM) is often seen as a scientific tool for quality improvement, even though its application requires the combination of scientific facts with value judgments and the costing of different treatments. How this is done depends on whether we approach the problem from the perspective of individual patients, doctors, or public health administrators. Evidence based medicine exerts a fundamental influence on certain key aspects of medical professionalism. Since, when clinical practice guidelines are created, costs affect the content of EBM, EBM inevitably becomes a form of rationing and adopts a public health point of view. This challenges traditional professionalism in much the same way as managed care has done in the US. Here we chart some of these major philosophical issues and show why simple solutions cannot be found. The profession needs to pay more attention to different uses of EBM in order to preserve the good aspects of professionalism.

PMID:
15082812
[PubMed - indexed for MEDLINE]
PMCID:
PMC1733818
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk