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J Eval Clin Pract. 2018 Oct;24(5):1158-1165. doi: 10.1111/jep.12974. Epub 2018 Jun 28.

The need for a rationalist turn in evidence-based medicine.

Author information

1
Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Forvie Site, Cambridge, CB2 0SR, UK.

Abstract

When evidence-based medicine (EBM) became established, its dominant rhetoric was empiricist, in spite of rationalist elements in its practice. Exploring some of the key statements about EBM down the years, the paper examines the tensions between empiricism and rationalism and argues for a rationalist turn in EBM to help to develop the next generation of scholarship in the field.

KEYWORDS:

Cochrane; NICE; clinical guidelines; epistemology; evidence-based medicine; practical reasoning

PMID:
29952098
PMCID:
PMC6174969
DOI:
10.1111/jep.12974
[Indexed for MEDLINE]
Free PMC Article

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