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Porträttbild av Lena Wahlberg. Foto.

Lena Wahlberg

Biträdande prefekt

Porträttbild av Lena Wahlberg. Foto.

Science and proven experience : a Swedish variety of evidence-based medicine?

Vetenskap och beprövad erfarenhet: en svensk version av evidensbaserad medicin?

Författare

  • Johannes Persson
  • Niklas Vareman
  • Annika Wallin
  • Lena Wahlberg
  • Nils-Eric Sahlin

Summary, in Swedish

A key question for evidence-based medicine (EBM) is how best to model the way in which EBM should “[integrate] individual clinical expertise and the best external evidence” (Sackett et al. 1996). We argue that the formulations and models available in the literature today are modest variations on a common theme and face very similar problems. For example, both the early and updated models of evidence-based clinical decisions presented in Haynes, Devereaux and Guyatt (2002) assume (with Sackett, et. al., 1996) that EBM consists of, among other things, evidence from clinical research and clinical expertise. On this A-view, EBM describes all that goes on in a specific justifiable medical decision. There is, however, an alternative interpretation of EBM, the B-view, in which EBM describes just one component of the decision situation (a component usually based on evidence from clinical research) and in which, together with other types of evidence, EBM leads to a justifiable clincial decision but does not describe the decision itself. This B-view is inspired by a 100-years older version of EBM, a Swedish standard requiring medical decision-making and practice to be in accordance with ‘science and proven experience’. In the paper we outline how the Swedish concept leads to an improved understanding of the way in which scientific evidence and clinical experience can and cannot be integrated in light of EBM. In addition the paper sketches the as yet unexplored historical background to EBM.

Avdelning/ar

  • Teoretisk filosofi
  • Vetenskap och Beprövad Erfarenhet (VBE)
  • Humanistiska och teologiska fakulteterna
  • Medicinsk etik
  • Kognitionsvetenskap
  • Health Law

Publiceringsår

2016-11-03

Språk

Engelska

Dokumenttyp

Konferensbidrag

Ämne

  • Philosophy
  • Medical Ethics

Nyckelord

  • Evidence-Based Medicine
  • proven experience
  • history of medicine
  • philosophy of science
  • philosophy of medicine

Conference name

PSA 2016: The 25th Biennial Meeting of the Philosophy of Science Association

Conference date

2016-11-03 - 2016-11-05

Conference place

Atlanta, United States

Aktiv

Published

Projekt

  • Science and Proven Experience

Forskningsgrupp

  • VBE
  • Health Law