PhilSci Archive

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

Persson, Johannes and Vareman, Niklas and Wallin, Annika and Wahlberg, Lena and Sahlin, Nils-Eric (2016) Science and proven experience: a Swedish variety of evidence-based medicine? In: UNSPECIFIED.

[img]
Preview
Text
Science_and_provenexperience_PSA_160617.pdf

Download (293kB) | Preview

Abstract

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.


Export/Citation: EndNote | BibTeX | Dublin Core | ASCII/Text Citation (Chicago) | HTML Citation | OpenURL
Social Networking:
Share |

Item Type: Conference or Workshop Item (UNSPECIFIED)
Creators:
CreatorsEmailORCID
Persson, Johannesjohannes.persson@fil.lu.se0000-0003-4568-1850
Vareman, Niklasniklas.vareman@med.lu.se
Wallin, Annikaannika.wallin@lucs.lu.se
Wahlberg, Lenalena.wahlberg@jur.lu.se
Sahlin, Nils-Ericnils-eric.sahlin@med.lu.se
Keywords: proven experience; experience; clinical expertise; EBM; evidence-based medicine; history of science; evidence
Subjects: General Issues > History of Science Case Studies
Specific Sciences > Medicine
General Issues > Science Policy
General Issues > Values In Science
Depositing User: Johannes Persson
Date Deposited: 30 Oct 2016 13:11
Last Modified: 30 Oct 2016 13:11
Item ID: 12557
Subjects: General Issues > History of Science Case Studies
Specific Sciences > Medicine
General Issues > Science Policy
General Issues > Values In Science
Date: 17 June 2016
URI: http://philsci-archive.pitt.edu/id/eprint/12557

Monthly Views for the past 3 years

Monthly Downloads for the past 3 years

Plum Analytics

Actions (login required)

View Item View Item