Ethics, evidence, and public policy.
The growth of evidence-based medicine (EBM) raises a number of ethical issues that have too often been overlooked. These include issues that arise when clinicians make judgments under uncertainty, new challenges for the clinician-patient relationship, new duties for institutional review boards, issues in physician autonomy and reimbursement, and challenges for disclosure and informed consent. Ethics and EBM must be addressed by policy makers and integrated into medical education.
Goodman
Kenneth W
KW
Bioethics and Ethics Programs, University of Miami, FL 33101, USA. kgoodman@miami.edu
D026690:Ethics, Clinical; D019317:Evidence-Based Medicine / Q000941:ethics* / Q000331:legislation & jurisprudence; D019983:Guideline Adherence / Q000941:ethics* / Q000331:legislation & jurisprudence; D006291:Health Policy; D006801:Humans; D007258:Informed Consent; D007349:Insurance, Health, Reimbursement; D007600:Judgment; D016365:Liability, Legal; D011050:Policy Making; D017410:Practice Guidelines as Topic; D017009:Professional Autonomy; D014342:Truth Disclosure; D035501:Uncertainty