ArticleBMC medicine2013
Promoting networks between evidence-based medicine and values-based medicine in continuing medical education.
Article in BMC medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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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.
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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.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Spirituality and spiritual care in palliative and terminal illness: a systematic review and epistemic meta-analysis from physicians' hermeneutic and bioethical perspective.BMC palliative care · 2025Pooled it
- Decision-Making at End-of-Life for Children With Cancer: A Systematic Review and Meta-Bioethical Analysis.Frontiers in oncology · 2021Pooled it
- Appealing to Tacit Knowledge and Axiology to Enhance Medical Practice in the COVID-19 Pandemic: A Systematic Review and Hermeneutic Bioethical Analysis.Frontiers in public health · 2021Pooled it
- The axiological foundations of innovation in STEM education - A systematic review and ethical meta-analysis.Heliyon · 2024Article
- Shifting from Conventional Curriculum to Value-based Medical Curriculum: Narrative Review.Journal of pharmacy & bioallied sciences · 2024Review
- Editorial: The role of evidence-based medicine and value-based medicine in clinical practice to enhance mental health.Frontiers in public health · 2024Article
- Patient-reported outcome measures and value-based medicine in paediatrics: a timely review.Singapore medical journal · 2023Review
- What works for whom in compassion training programs offered to practicing healthcare providers: a realist review.BMC medical education · 2021Review
- Exploring the Relationship between Shared Decision-Making, Patient-Centered Medicine, and Evidence-Based Medicine.The Linacre quarterly · 2021Article
- Review
- Value as the key concept in the health care system: how it has influenced medical practice and clinical decision-making processes.Journal of multidisciplinary healthcare · 2017Article
- Today´s medical self and the other: Challenges and evolving solutions for enhanced humanization and quality of care.PloS one · 2017Article
- Novel ethical dilemmas arising in geriatric clinical practice.Medicine, health care, and philosophy · 2015Observational
- New frontiers in the future of palliative care: real-world bioethical dilemmas and axiology of clinical practice.BMC medical ethics · 2015Article
- BMC Medicine: a decade of open access medical research.BMC medicine · 2014Article
- A student's perspective on medical ethics education.Journal of religion and health · 2013Review
- Cardiovascular medicine at face value: a qualitative pilot study on clinical axiology.Philosophy, ethics, and humanities in medicine : PEHM · 2013Article
- Evidence-based medicine and values-based medicine: partners in clinical education as well as in clinical practice.BMC medicine · 2013Article
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23 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years, medical practice has followed two different paradigms: evidence-based medicine (EBM) and values-based medicine (VBM). There is an urgent need to promote medical education that strengthens the relationship between these two paradigms. This work is designed to establish the foundations for a continuing medical education (CME) program aimed at encouraging the dialogue between EBM and VBM by determining the values relevant to everyday medical activities.
methodsA quasi-experimental, observational, comparative, prospective and qualitative study was conducted by analyzing through a concurrent triangulation strategy the correlation between healthcare personnel-patient relationship, healthcare personnel's life history, and ethical judgments regarding dilemmas that arise in daily clinical practice.In 2009, healthcare personnel working in Mexico were invited to participate in a free, online clinical ethics course. Each participant responded to a set of online survey instruments before and after the CME program. Face-to-face semi-structured interviews were conducted with healthcare personnel, focusing on their views and representations of clinical practice.
resultsThe healthcare personnel's core values were honesty and respect. There were significant differences in the clinical practice axiology before and after the course (P <0.001); notably, autonomy climbed from the 10th (order mean (OM) = 8.00) to the 3rd position (OM = 5.86). In ethical discernment, the CME program had an impact on autonomy (P ≤0.0001). Utilitarian autonomy was reinforced in the participants (P ≤0.0001). Regarding work values, significant differences due to the CME intervention were found in openness to change (OC) (P <0.000), self-transcendence (ST) (P <0.001), and self-enhancement (SE) (P <0.019). Predominant values in life history, ethical discernment and healthcare personnel-patient relation were beneficence, respect and compassion, respectively.
conclusionsThe healthcare personnel participating in a CME intervention in clinical ethics improved high-order values: Openness to change (OC) and Self Transcendence (ST), which are essential to fulfilling the healing ends of medicine. The CME intervention strengthened the role of educators and advisors with respect to healthcare personnel. The ethical values developed by healthcare professionals arise from their life history and their professional formation.
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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.