[Is "evidence-based medicine" followed by "confidence-based medicine"?].
In an appeal concerning accusations of defamation, the England and Wales Court of Appeal Decisions determined that evidence-based statements are to be judged as opinions and not statements of fact. Since the authors consider it probable that this legal judgment will exert influence on physicians' decisions about the provision of health care services, they have compiled the implications of the judgment and discuss its consequences. The own analyses and considerations lead to the conclusion that confidence-based medicine follows evidence-based medicine. This extension is necessary because evidence-based medicine has not been able to generate the required trust. Therefore, it will be demanded to underpin the existing concept with additional data. These data will be necessary because it is no longer sufficient to convince scientists with data which are obtained under ideal conditions, but to convince critical members of society with additional data which have been obtained under everyday conditions.
Porzsolt
Franz
F
Klinische Okonomik, Universität Ulm, Ulm, Germany. franz.porzsolt@uniklinik-ulm.de
Fangerau
Heiner
H
D002983:Clinical Competence / Q000331:legislation & jurisprudence*; D003661:Decision Support Techniques; D004739:England; D019317:Evidence-Based Medicine / Q000331:legislation & jurisprudence*; D005858:Germany; D006801:Humans; D009313:National Health Programs / Q000331:legislation & jurisprudence; D017410:Practice Guidelines as Topic / Q000592:standards; D016896:Treatment Outcome; D035502:Trust; D014852:Wales
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