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  1. Illness: The Cry of the Flesh.Havi Carel - 2008 - Routledge.
    What is illness? Is it a physiological dysfunction, a social label, or a way of experiencing the world? How do the physical, social and emotional worlds of a person change when they become ill? And can there be well-being within illness? In this remarkable and thought-provoking book, Havi Carel explores these questions by weaving together the personal story of her own serious illness with insights and reflections drawn from her work as a philosopher. Carel shows how the concepts and language (...)
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  • Ethics, Management, and Mythology: Rational Decision Making for Health Service Professionals.Michael Loughlin - 2002 - Radcliffe Medical Press.
    Chapter 1 Who this book is for and who it is not for1 There are already too many books offering solutions to the problems of the health service. ...
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  • Evidence: philosophy of science meets medicine.John Worrall - 2010 - Journal of Evaluation in Clinical Practice 16 (2):356-362.
    Obviously medicine should be evidence-based. The issues lie in the details: what exactly counts as evidence? Do certain kinds of evidence carry more weight than others? And how exactly should medicine be based on evidence? When it comes to these details, the evidence-based medicine movement has got itself into a mess – or so it will be argued. In order to start to resolve this mess, we need to go 'back to basics'; and that means turning to the philosophy of (...)
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  • A short note on probability in clinical medicine.Ross E. G. Upshur - 2013 - Journal of Evaluation in Clinical Practice 19 (3):463-466.
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  • Can academic and clinical journals be in financial conflict of interest situations? The case of evidence‐based incorporated.Ross Upshur, Stephen Buetow, Michael Loughlin & Andrew Miles - 2006 - Journal of Evaluation in Clinical Practice 12 (4):405-409.
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  • Integrating evidence into clinical practice: an alternative to evidence‐based approaches.Mark R. Tonelli - 2006 - Journal of Evaluation in Clinical Practice 12 (3):248-256.
    Evidence-based medicine (EBM) has thus far failed to adequately account for the appropriate incorporation of other potential warrants for medical decision making into clinical practice. In particular, EBM has struggled with the value and integration of other kinds of medical knowledge, such as those derived from clinical experience or based on pathophysiologic rationale. The general priority given to empirical evidence derived from clinical research in all EBM approaches is not epistemically tenable. A casuistic alternative to EBM approaches recognizes that five (...)
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  • Radical liberal values‐based practice.Tim Thornton - 2011 - Journal of Evaluation in Clinical Practice 17 (5):988-991.
    Values based practice is a radical view of the place of values in medicine which develops from a philosophical analysis of values, illness and the role of ethical principles. It denies two attractive and traditional views of medicine: that diagnosis is a merely factual matter and that the values that should guide treatment and management can be codified in principles. But it goes further in the adoption of a radical liberal view: that right or good outcome should be replaced by (...)
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  • Causality, mathematical models and statistical association: dismantling evidence‐based medicine.R. Paul Thompson - 2010 - Journal of Evaluation in Clinical Practice 16 (2):267-275.
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  • Getting there from here: evidentiary quandaries of the US outcomes movement.S. Tanenbaum - 1995 - Journal of Evaluation in Clinical Practice 1 (2):97-103.
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  • Causal knowledge in evidence-based medicine. In reply to Kerry et al.'s causation and evidence-based practice: an ontological review.Anders Strand & Veli-Pekka Parkkinen - 2014 - Journal of Evaluation in Clinical Practice 20 (6):981-984.
    Kerry et al. criticize our discussion of causal knowledge in evidence-based medicine (EBM) and our assessment of the relevance of their dispositionalist ontology for EBM. Three issues need to be addressed in response: (1) problems concerning transfer of causal knowledge across heterogeneous contexts; (2) how predictions about the effects of individual treatments based on population-level evidence from RCTs are fallible; and (3) the relevance of ontological theories like dispositionalism for EBM.
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  • Camouflage is no defence--a response to Kottow.D. Seedhouse - 1999 - Journal of Medical Ethics 25 (4):344-350.
    The author responds to Professor Kottow's criticisms, explaining numerous errors and misconceptions.
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  • The protagonists of 'evidence‐based medicine': arrogant, seductive and controversial.A. Polychronls, A. Miles & P. Bentley - 1996 - Journal of Evaluation in Clinical Practice 2 (1):9-12.
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  • Recent developments in the evidence‐based healthcare debate.A. Miles, P. Bentley, A. Polychronis, J. Grey & C. Melchiorri - 2001 - Journal of Evaluation in Clinical Practice 7 (2):85-89.
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  • Purchasing quality in clinical practice: what on Earth do we mean?A. Miles, P. Bentley, J. Grey & A. Polychronis - 1995 - Journal of Evaluation in Clinical Practice 1 (2):87-95.
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  • New perspectives in the evidence‐based healthcare debate.A. Miles, B. Charlton, P. Bentley, A. Polychronis, J. Grey & N. Price - 2000 - Journal of Evaluation in Clinical Practice 6 (2):77-84.
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  • Medicine and evidence: knowledge and action in clinical practice.Andrew Miles, Michael Loughlin & Andreas Polychronis - 2007 - Journal of Evaluation in Clinical Practice 13 (4):481-503.
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  • Evidence‐based medicine: why all the fuss? This is why.A. Miles, P. Bentley, A. Polychronis & J. Grey - 1997 - Journal of Evaluation in Clinical Practice 3 (2):83-86.
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  • Evidence‐based healthcare, clinical knowledge and the rise of personalised medicine.Andrew Miles, Michael Loughlin & Andreas Polychronis - 2008 - Journal of Evaluation in Clinical Practice 14 (5):621-649.
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  • Continuing the evidence‐based health care debate in 2006. The progress and price of EBM.Andrew Miles & Michael Loughlin - 2006 - Journal of Evaluation in Clinical Practice 12 (4):385-398.
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  • Current thinking in the evidence‐based health care debate.A. Miles, J. E. Grey, A. Polychronis, N. Price & C. Melchiorri - 2003 - Journal of Evaluation in Clinical Practice 9 (2):95-109.
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  • Advancing the evidence‐based healthcare debate.A. Miles, P. Bentley, A. Polychronis, J. Grey & N. Price - 1999 - Journal of Evaluation in Clinical Practice 5 (2):97-101.
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  • Corroborating evidence‐based medicine.Alexander Mebius - 2014 - Journal of Evaluation in Clinical Practice 20 (6):915-920.
    Proponents of evidence-based medicine have argued convincingly for applying this scientific method to medicine. However, the current methodological framework of the EBM movement has recently been called into question, especially in epidemiology and the philosophy of science. The debate has focused on whether the methodology of randomized controlled trials provides the best evidence available. This paper attempts to shift the focus of the debate by arguing that clinical reasoning involves a patchwork of evidential approaches and that the emphasis on evidence (...)
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  • Evaluation in clinical practice: problems, precedents and principles.Neil Mclntyre - 1995 - Journal of Evaluation in Clinical Practice 1 (1):5-13.
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  • An integrated model of clinical reasoning: dual‐process theory of cognition and metacognition.James A. Marcum - 2012 - Journal of Evaluation in Clinical Practice 18 (5):954-961.
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  • Medical humanities' challenge to medicine.Jane Macnaughton - 2011 - Journal of Evaluation in Clinical Practice 17 (5):927-932.
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  • Virtue, Progress and Practice.Michael Loughlin, Robyn Bluhm, Stephen Buetow, Ross E. G. Upshur, Maya J. Goldenberg, Kirstin Borgerson & Vikki Entwistle - 2011 - Journal of Evaluation in Clinical Practice 17 (5):839-846.
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  • The language of quality.Michael Loughlin - 1996 - Journal of Evaluation in Clinical Practice 2 (2):87-95.
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  • Reason and value: making reasoning fit for practice.Michael Loughlin, Robyn Bluhm, Stephen Buetow, Ross E. G. Upshur, Maya J. Goldenberg, Kirstin Borgerson, Vikki Entwistle & Elselijn Kingma - 2012 - Journal of Evaluation in Clinical Practice 18 (5):929-937.
    Editors' introduction to 3rd thematic issue on philosophy of medicine.
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  • Philosophy, ethics, medicine and health care: the urgent need for critical practice.Michael Loughlin, Ross E. G. Upshur, Maya J. Goldenberg, Robyn Bluhm & Kirstin Borgerson - 2010 - Journal of Evaluation in Clinical Practice 16 (2):249-259.
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  • Explanation, understanding, objectivity and experience.Michael Loughlin, Robyn Bluhm, Drozdstoj S. Stoyanov, Stephen Buetow, Ross E. G. Upshur, Kirstin Borgerson, Maya J. Goldenberg & Elselijn Kingma - 2013 - Journal of Evaluation in Clinical Practice 19 (3):415-421.
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  • Camouflage is still no defence – another plea for a straight answer to the question 'what is bioethics?'.Michael Loughlin - 2004 - Journal of Evaluation in Clinical Practice 10 (1):75-83.
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  • Brief encounter: a dialogue between a philosopher and an NHS manager on the subject of 'quality'.M. Loughlin - 1995 - Journal of Evaluation in Clinical Practice 1 (2):81-85.
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  • Ex nihilo nihil fit? Medicine rests on solid foundations.Miles Little - 2013 - Journal of Evaluation in Clinical Practice 19 (3):467-470.
    There seem to be some misunderstandings abroad in the literature about medical epistemology and person-centered medicine concerning the nature of 'modest' or aetiological foundationalism, and some vagueness about 'emergence'. This paper urges a greater tolerance for a modest, Humean variety of foundationalism, not least because it seems to offer significant support for person-centred medicine. It also suggests a closer examination of emergence as an explanation or justification for medicine, since emergence is a complex concept that does nothing to rule out (...)
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  • The lived body as a medical topic: an argument for an ethically informed epistemology.Anna Luise Kirkengen & Eline Thornquist - 2012 - Journal of Evaluation in Clinical Practice 18 (5):1095-1101.
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  • Causation and evidence-based practive - an ontological review.Roger Kerry, Thor Eirik Eriksen, Svein Anders Noer Lie, Stephen D. Mumford & Rani Lill Anjum - 2012 - Journal of Evaluation in Clinical Practice 18 (5):1006-1012.
    We claim that if a complete philosophy of evidence-based practice is intended, then attention to the nature of causation in health science is necessary. We identify how health science currently conceptualises causation by the way it prioritises some research methods over others. We then show how the current understanding of what causation is serves to constrain scientific progress. An alternative account of causation is offered. This is one of dispositionalism. We claim that by understanding causation from a dispositionalist stance, many (...)
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  • Polanyi's tacit knowing and the relevance of epistemology to clinical medicine.Stephen G. Henry - 2010 - Journal of Evaluation in Clinical Practice 16 (2):292-297.
    Most clinicians take for granted a simple, reductionist understanding of medical knowledge that is at odds with how they actually practice medicine; routine medical decisions incorporate more complicated kinds of information than most standard accounts of medical reasoning suggest. A better understanding of the structure and function of knowledge in medicine can lead to practical improvements in clinical medicine. This understanding requires some familiarity with epistemology, the study of knowledge and its structure, in medicine. Michael Polanyi's theory of tacit knowing (...)
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  • The concept of health: beyond normativism and naturalism.Richard P. Hamilton - 2010 - Journal of Evaluation in Clinical Practice 16 (2):323-329.
    Philosophical discussions of health and disease have traditionally been dominated by a debate between normativists, who hold that health is an inescapably value-laded concept and naturalists, such as Christopher Boorse, who believe that it is possible to derive a purely descriptive or theoretical definition of health based upon biological function. In this paper I defend a distinctive view which traces its origins in Aristotle's naturalistic ethics. An Arisotelian would agree with Boorse that health and disease are ubiquitous features of the (...)
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  • Critical thinking in clinical medicine: what is it?Mona Gupta & Ross Upshur - 2012 - Journal of Evaluation in Clinical Practice 18 (5):938-944.
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  • From Popperian Science to Normal Science. Commentary on Sestini (2010).Maya J. Goldenberg - 2010 - Journal of Evaluation in Clinical Practice 16 (2):306-310.
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  • From Popperian science to normal science. Commentary on Sestini (2009) 'Epistemology and ethics of evidence‐based medicine'.Maya J. Goldenberg - 2010 - Journal of Evaluation in Clinical Practice 16 (2):306-309.
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  • Medicine and the individual: is phenomenology the answer?Tania L. Gergel - 2012 - Journal of Evaluation in Clinical Practice 18 (5):1102-1109.
    The issue of how to incorporate the individual's first‐hand experience of illness into broader medical understanding is a major question in medical theory and practice. In a philosophical context, phenomenology, with its emphasis on the subject's perception of phenomena as the basis for knowledge and its questioning of naturalism, seems an obvious candidate for addressing these issues. This is a review of current phenomenological approaches to medicine, looking at what has motivated this philosophical approach, the main problems it faces and (...)
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  • Book Review. Philosophy of Epidemiology by A. Broadbent. [REVIEW]Jonathan Fuller - 2014 - Journal of Evaluation in Clinical Practice 20 (6):1002-1004.
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  • Health, health care and the problem of intrinsic value.Peter Duncan - 2010 - Journal of Evaluation in Clinical Practice 16 (2):318-322.
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  • Causal Explanatory Pluralism and Medically Unexplained Physical Symptoms.Michael Cournoyea & Ashley Graham Kennedy - 2014 - Journal of Evaluation in Clinical Practice.
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  • The limitations of randomized controlled trials in predicting effectiveness.Nancy Cartwright & Eileen Munro - 2010 - Journal of Evaluation in Clinical Practice 16 (2):260-266.
    What kinds of evidence reliably support predictions of effectiveness for health and social care interventions? There is increasing reliance, not only for health care policy and practice but also for more general social and economic policy deliberation, on evidence that comes from studies whose basic logic is that of JS Mill's method of difference. These include randomized controlled trials, case–control studies, cohort studies, and some uses of causal Bayes nets and counterfactual-licensing models like ones commonly developed in econometrics. The topic (...)
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  • Conference Report Interdisciplinary Workshop in the Philosophy of Medicine: Medical Knowledge, Medical Duties.Emma Bullock & Elselijn Kingma - 2014 - Journal of Evaluation in Clinical Practice 20 (6):994-1001.
    On 27 September 2013, the Centre for the Humanities and Health (CHH) at King's College London hosted a 1-day workshop on ‘Medical knowledge, Medical Duties’. This workshop was the fifth in a series of five workshops whose aim is to provide a new model for high-quality, open interdisciplinary engagement between medical professionals and philosophers. This report identifies the key points of discussion raised throughout the day and the methodology employed.
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  • Taking stock of evidence‐based medicine: opportunities for its continuing evolution.Stephen Buetow, Ross Upshur, Andrew Miles & Michael Loughlin - 2006 - Journal of Evaluation in Clinical Practice 12 (4):399-404.
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  • Conciliating cognition and consciousness: the perceptual foundations of clinical reasoning.Hillel D. Braude - 2012 - Journal of Evaluation in Clinical Practice 18 (5):945-950.
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  • Physiological mechanisms and epidemiological research.Robyn Bluhm - 2013 - Journal of Evaluation in Clinical Practice 19 (3):422 - 426.
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  • Mechanisms: what are they evidence for in evidence-based medicine?Holly Andersen - 2012 - Journal of Evaluation in Clinical Practice 18 (5):992-999.
    Even though the evidence‐based medicine movement (EBM) labels mechanisms a low quality form of evidence, consideration of the mechanisms on which medicine relies, and the distinct roles that mechanisms might play in clinical practice, offers a number of insights into EBM itself. In this paper, I examine the connections between EBM and mechanisms from several angles. I diagnose what went wrong in two examples where mechanistic reasoning failed to generate accurate predictions for how a dysfunctional mechanism would respond to intervention. (...)
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