Evidence, effectiveness and ethics

Jensen, Uffe Juul

doi:10.4324/9780203493694.ch2

Cited by 5 publications

(5 citation statements)

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“…In an attempt to describe Cochrane's ‘philosophy of medicine’, Uffe Juul Jensen relates Cochrane's remarks on equality to his more general thoughts on medicine, science and politics 26. He underlines Cochrane's belief in ‘the relative unimportance of therapy in comparison with the recuperative power of the human body’ (p. 5) 11.…”

Section: From Means To Endsmentioning

confidence: 99%

“…Few have tried to extract fresh raw materials for a different discourse from the more hidden lodes in Cochrane's text. Jensen26 is an exception when he tries to explicate Cochrane's ‘philosophy of medicine’ as a critique of EBM: ‘Rational scientific and methodological principles are not sufficient for securing rational and humane health care. A philosophy reminding us of both our limited scientific possibilities—limited in principle—and our personal responsibility is needed.…”

Section: The Articulation Of a Silencementioning

confidence: 99%

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Who cares? The lost legacy of Archie Cochrane

2016

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Over the last 20 years, the evidence-based medicine (EBM) movement has sought to develop standardised approaches to patient treatment by drawing on research results from randomised controlled trials (RCTs). The Cochrane Collaboration and its eponym, Archie Cochrane, have become symbols of this development, and Cochrane's book from 1972 is often referred to as the first sketch of what was to become EBM. In this article, we claim that this construction of EBM's historical roots is based on a selective reading of Cochrane's text. Through a close reading of this text, we show that the principal aim of modern EBM, namely to warrant clinical decisions based on evidence drawn from RCTs, is part of Cochrane's original project. He had more modest ambitions for what RCTs can accomplish, and, more importantly, he was more concerned with care and equality than are his followers in the EBM movement. We try to reconstruct some of Cochrane's lost legacy and to articulate some of the important silences in From these clues it might be possible, we argue, to remodel EBM in a broader, more pluralistic, more democratic and less authoritarian manner.

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Section: From Means To Endsmentioning

confidence: 99%

Section: The Articulation Of a Silencementioning

confidence: 99%

Who cares? The lost legacy of Archie Cochrane

2016

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“…I have developed this interpretation elsewhere(Jensen, 2004). 4 For a detailed discussion of and critique of medical essentialism and the ideal of specific treatment seeJensen (1987).T H E S T R U G G L E F O R C L I N I C A L A U T H O R I T Y j j 109…”

mentioning

confidence: 97%

The Struggle for Clinical Authority: Shifting Ontologies and the Politics of Evidence

Jensen

2007

BioSocieties

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“…England havde vaeret praeget af dybe sociale forskelle; forskelle der blev uddybet under 1930'ernes økonomiske krise og forstaerket under 2. verdenskrig. Engelske socialmedicinere som Cochrane havde fremhaevet, hvordan den sociale ulighed betød ulighed i sundhed (bl.a.Cochrane, 1972;Jensen, 2004). Han deltog i demonstrationer i London i 1930'erne med krav om lige og fri adgang til behandling.…”

unclassified

Ulighed i sundhed

Bjerge¹,

Jensen²,

Olsen³

2021

TFSS

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Dette temanummer handler om ulighed i sundhed, og gennem syv meget for- skellige artikler sætter nummerets forfattere fokus på, hvordan ulighed i sund- hed kan opleves og forstås i dagens Danmark. Med temanummeret ønsker vi at anskueliggøre, at der er behov for at tænke og handle anderledes, hvis vi som sundhedssystem og samfund virkelig vil gøre noget ved udfordringer i forhold til ulighed i sundhed og ulighed i adgang hertil.

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Evidence, effectiveness and ethics

Cited by 5 publications

References 0 publications

Who cares? The lost legacy of Archie Cochrane

Who cares? The lost legacy of Archie Cochrane

The Struggle for Clinical Authority: Shifting Ontologies and the Politics of Evidence

Ulighed i sundhed

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