2011
DOI: 10.1111/j.1365-2753.2011.01713.x
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Models in the balance: evidence‐based medicine versus evidence‐informed individualized care

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Cited by 92 publications
(106 citation statements)
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References 75 publications
(77 reference statements)
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“…Medicine has been a science-using and compassionate practice [4,[48][49][50]. Literally, physician performance may only be reliably evaluated from a sociotechnical perspective.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Medicine has been a science-using and compassionate practice [4,[48][49][50]. Literally, physician performance may only be reliably evaluated from a sociotechnical perspective.…”
Section: Resultsmentioning
confidence: 99%
“…Perhaps, more research efforts may be put forth into developing schemes that remunerate physicians based on intrinsic-extrinsic incentives (see [51,52], for example). This research direction may contribute to policymaking for coalescing evidence-based medical practice with humanism to care for patients as whole persons as part of the development of person-centered medicine [4,[48][49][50]. It may also contribute to building a trusting relationship between healthcare managers and physicians through a better understanding of medical practice.…”
Section: Resultsmentioning
confidence: 99%
“…However, evidence-based medicine has its limitations and possible stumbling blocks (Driever, 2002;Saarni et al, 2004;Miles et al, 2008;Shahar, 2008;Miles et al, 2011), in particular when it concerns diseases as complex as CF for which numerous therapeutic modalities have simply not yet been adequately studied (Cheng et al, 2000;David, 2001;Briggs et al, 2006;Kraynack et al, 2009). Best practice remains individualized in part, although a coherent foundation of evidence-based medicine is absolutely necessary.…”
Section: Marked Differences In Clinical Results Between Cf Centres: Why?mentioning
confidence: 99%
“…The PCM movement has, however, elected to employ the prefix 'person-centered', not for reasons of sensationalism or hubris (as characterised the inception and promotion of EBM) [41][42][43][44][45][62][63][64] , but rather as a simple mechanism to remind medicine of its epicentre -the person of the patient -at a time when the centrality of the patient within healthcare has become displaced or ignored. As Miles and Loughlin 78 (1) a wide, biological, psychological, socio-cultural and spiritual theoretical framework; (2) an approach which attends to both ill health and positive health; (3) a system which advocates person-centered research and education on the process and outcome of the patient-family-clinician communication, diagnosis as shared understanding, and treatment, prevention and health promotion as shared commitments; (4) a model of respect for the autonomy, responsibility and dignity of every person involved in the care process and (5) a philosophy of partnerships at all levels. 111,112 The fundamental need for contextualization, cross-sectionally and longitudinally, is fully in accordance with the philosopher Ortega y Gasset's dictum: 'I am I and my circumstance'.…”
Section: Person-centered Medicine Basic Principlesmentioning
confidence: 99%
“…Not that EBM and cost-containment are normative bedfellows. On the contrary, and as Miles and Loughlin 78 have pointed out, EBM is as a model of practice a 'two-edged sword' for healthcare policymakers, fully capable of greatly increasing healthcare costs as well as reducing them as a function of its identification, through its own rules, of what 'works' ('evidence') in clinical practice and what does not.…”
Section: Patient-centered Care (Pcc)mentioning
confidence: 99%