Evidence-B(i)ased Medicine: Limitations and Non-Superstition-Based Alternatives

Green, S. Joshua
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Abstract

Introductory Remarks The Evidence-Based Medicine (EBM) movement crystallized in the early 1990’s at McMaster University in Canada (3). The movement originally challenged practitioners to validate their treatments based on reasoning and clinical studies rather than personal authority (9). In this essay, I will argue that, contrary to this wholesome intention, EBM is authoritarian in spirit and actually constricts discourse about how to make clinical decisions.
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基于证据b (i)的医学:局限性和非迷信的替代品
循证医学(EBM)运动于20世纪90年代初在加拿大麦克马斯特大学(McMaster University)形成(3)。该运动最初挑战从业者基于推理和临床研究而不是个人权威来验证他们的治疗(9)。在这篇文章中,我将论证,与这种有益健康的意图相反,EBM在精神上是权威的,实际上限制了关于如何做出临床决策的讨论。
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