Research Ethics and Evidence Based Medicine
Lie, R. K.
Journal of Medical Ethics 2004 April; 30(2): 122-125
In this paper, the author argues that the requirement to conduct randomised clinical trials to inform policy in cases where one wants to identify a cheaper alternative to known effective but expensive interventions raises an important ethical issue. This situation will eventually arise whenever there are resource constraints, and a policy decision has been made not to fund an intervention on cost effectiveness grounds. It has been thought that this is an issue only in extremely resource poor settings. This paper gives an example from the United Kingdom illustrating that this is also a problem faced by richer countries.
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Coordinating the Norms and Values of Medical Research, Medical Practice and Patient Worlds -- the Ethics of Evidence Based Medicine in Orphaned Fields of Medicine Vos, R.; Willems, D.; Houtepen, R. (2004-04)Evidence based medicine is rightly at the core of current medicine. If patients and society put trust in medical professional competency, and on the basis of that competency delegate all kinds of responsibilities to the ...