医学伦理学Ethics and Evidence-Based Medicine pdf epub azw3 2024 下载

"At its core,evidence-based practice rests on a supposition which,while probabliy true.itself has unclear evidentiary support"

A quaret-century of outcomes research,systematic reviews and research synthesis have reshaped medicine and oher health professions,even as they have been subjected to vigorous and vehement criticism.

The growth of evidence-based medicine has occurred against a backdrop of health care reform, managed care, cost containment, and quality improvement、and Clinicians have been urged to adopt the rigors of science while remaining true to their "clinical judgment". This tension-btwen efforts to make medical practice make medical practice more scientiric and the suspicions of many clinicians-has caused one of

the greatest practical and conceptual origins ofevidence-based practice and discusses key ethical issues that arise in clinical practice, public health, and health policy.

作者简介:

Kenneth W.Goodman is founder and director of the university of miami's bioethics program and its pan-american bioethics initiative.heys alsoco-director of the university'sprogram in business,govern-ment and professional ethics,and public health,and the school of nursing , he is editor of ethics,computing and medicine(cambridge,1998),and the author of articles on bioethics,the philosophy of science and computing.

Preface

Acknowledgments

1 Foundations and history of evidence-based practice

2 The research synthesis revolution

3 Evidence of evidence,and other comceptual challenges

4 Human subjects,the internet,databases,and data mining

5 Evidence at the bedside

6 Public health policy,uncertainty,and genetics

7 Etheics and evidence

References

Index

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书籍介绍

The growth of evidence-based medicine has occurred against a backdrop of health care reform, managed care, cost containment and quality improvement, and clinicians have been urged to adopt the rigours of science while remaining true to their 'clinical judgement'. This tension - between efforts to make medical practice more scientific and the suspicions of many clinicians - has caused one of the greatest practical and ethical challenges in the history of the health professions. This incisive book reviews the history and conceptual origins of evidence-based practice, and discusses key ethical issues that arise in clinical practice, public health and health policy. Essential reading for all physicians, and practitioners in epidemiology and public health, it will also be suitable as a text in medical and public health school courses on evidence-based practice.

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  俩小女孩杀人后逃跑到野外荒野生存还在煮茶喝，我就猜是英国人写的，一看封面果然。。

• 作者： 三千 发布时间：2022-12-20 18:44:27

  34我们一生都处在有条件的安抚中，也逐渐培养了自己的“安抚经济观”。读了青春期那章，发现父母对我的成长没有丝毫帮助。唉。

• 作者： 淡淡淡如 发布时间：2021-01-06 11:38:35

  前半段整体春风得意，说是三个壁垒，看下来感觉只有一个——就是大量成交促成数据形成正向循环。倒推回打法，就很明确了，如何促进大量成交。

  后半段的内容变得深刻，2020年促进了行业反思呀。

  比较有意思的点事杨浩涌解释了一下那些公司的估值逻辑，当那个新兴的互联网公司跑通了一个赛道以后，它会对应到过去给过他的高估值。

  当公司跑通了那个赛道以后，它的确是对应了过去的高估值。但跑通赛道后的预期已经不是过去的高估值了。所以估值永远看不懂。

  我自己感觉了一下，这方面最著名的反例就是百度，生态没有形成，赛道没有跑通，就没落了。

• 有胜于无，挺好的，不过错误疏漏也挺多的

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  总之这本书值得多翻几遍，多想想！