医学伦理学Ethics and Evidence-Based Medicine azw3 极速 下载 snb txt pdf pdb 夸克云

"At its core,evidence-based practice rests on a supposition which,while probabliy true.itself has unclear evidentiary support"

A quaret-century of outcomes research,systematic reviews and research synthesis have reshaped medicine and oher health professions,even as they have been subjected to vigorous and vehement criticism.

The growth of evidence-based medicine has occurred against a backdrop of health care reform, managed care, cost containment, and quality improvement、and Clinicians have been urged to adopt the rigors of science while remaining true to their "clinical judgment". This tension-btwen efforts to make medical practice make medical practice more scientiric and the suspicions of many clinicians-has caused one of

the greatest practical and conceptual origins ofevidence-based practice and discusses key ethical issues that arise in clinical practice, public health, and health policy.

作者简介:

Kenneth W.Goodman is founder and director of the university of miami's bioethics program and its pan-american bioethics initiative.heys alsoco-director of the university'sprogram in business,govern-ment and professional ethics,and public health,and the school of nursing , he is editor of ethics,computing and medicine(cambridge,1998),and the author of articles on bioethics,the philosophy of science and computing.

Preface

Acknowledgments

1 Foundations and history of evidence-based practice

2 The research synthesis revolution

3 Evidence of evidence,and other comceptual challenges

4 Human subjects,the internet,databases,and data mining

5 Evidence at the bedside

6 Public health policy,uncertainty,and genetics

7 Etheics and evidence

References

Index

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书籍介绍

The growth of evidence-based medicine has occurred against a backdrop of health care reform, managed care, cost containment and quality improvement, and clinicians have been urged to adopt the rigours of science while remaining true to their 'clinical judgement'. This tension - between efforts to make medical practice more scientific and the suspicions of many clinicians - has caused one of the greatest practical and ethical challenges in the history of the health professions. This incisive book reviews the history and conceptual origins of evidence-based practice, and discusses key ethical issues that arise in clinical practice, public health and health policy. Essential reading for all physicians, and practitioners in epidemiology and public health, it will also be suitable as a text in medical and public health school courses on evidence-based practice.