ArticleHealth care analysis : HCA : journal of health philosophy and policy2002
Evidence-based medicine as an instrument for rational health policy.
Article in Health care analysis : HCA : journal of health philosophy and policy, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The use of research evidence in public health decision making processes: systematic review.PloS one · 2011Pooled it
- Predictors of the decision to adopt motivational interviewing in community health settings.The journal of behavioral health services & research · 2014Article
- Rationality versus reality: the challenges of evidence-based decision making for health policy makers.Implementation science : IS · 2010Article
- Role of ideas and ideologies in evidence-based health policy.Iranian journal of public health · 2010Article
- An ethical analysis of international health priority-setting.Health care analysis : HCA : journal of health philosophy and policy · 2008Article
- Access to high cost medicines in Australia: ethical perspectives.Australia and New Zealand health policy · 2008Article
- Incorporating clinical guidelines through clinician decision-making.Implementation science : IS · 2008Article
- Recognizing tacit knowledge in medical epistemology.Theoretical medicine and bioethics · 2006Article
- Wanted: a new ethics field for health policy analysis.Health care analysis : HCA : journal of health philosophy and policy · 2005Article
- Pathways to "evidence-informed" policy and practice: a framework for action.PLoS medicine · 2005Article
- Evidence-based medicine: why do opponents and proponents use the same arguments?Health care analysis : HCA : journal of health philosophy and policy · 2005Review
- Ethics, EBM, and hospital management.Journal of medical ethics · 2004Review
- Evidence-based medicine: excessive attraction to efficiency and certainty?Health care analysis : HCA : journal of health philosophy and policy · 2002Article
- The role of evidence in health policy making: a normative perspective.Health care analysis : HCA : journal of health philosophy and policy · 2002Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article tries to present a broad view on the values and ethical issues that are at stake in efforts to rationalize health policy on the basis of economic evaluations (like cost-effectiveness analysis) and randomly controlled clinical trials. Though such a rationalization is generally seen as an objective and 'value free' process, moral values often play a hidden role, not only in the production of 'evidence', but also in the way this evidence is used in policy making. For example, the definition of effectiveness of medical treatment or health care service is heavily dependent on dominant individual or social views about the goals of the particular treatment or service. There is also a concern that a reliance on EBM in health policy will occur at the expense of widely shared social values like equity and solidarity. Moreover, there is a concern that when economic considerations and rational procedures become more influential, various 'outside' groups third parties like insurance companies and policy makers will get a stronger influence on medical practice which may lead to a change in the patient-provider relationship. The authors conclude that social values and patient preference should be explicitly addressed when health policy making is based on economic and other scientific evidence.
Indexed as
Identifiers
12769414What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.