Evidence-Based Healthcare in Context

With new methods of treatment standardisation resulting in various benefits for patient outcomes, evidence-based medicine and evidence-based practice have emerged as defining features of western healthcare provision in recent years. Most health professions are now adopting some form of 'evidence-based' framework for clinical training and practice. However, the rise of evidence-based healthcare has drawn sustained criticism regarding the limits of trial based evidence, the reductive character of epidemiological study designs, and the potential for an erosion of the importance of lay perspectives and clinical judgement. Evidence-Based Healthcare in Context introduces readers to the social, cultural and historical underpinnings of 'evidence' in healthcare, critically examining questions about what constitutes 'evidence' and 'effectiveness' from perspectives outside medicine, including those of patients, complementary medicine and midwifery. It focuses on the application of contemporary theoretical debates around the nature of medical and health knowledge, providing readers with a series of critical analyses of the production, application and translation of 'evidence' in a range of healthcare contexts. Featuring cutting edge work from leading social scientists in the UK, US, Canada, Norway, Australia and New Zealand, this volume draws on the latest empirical research to provide a thorough critical overview of this important field of health research.

Alex Broom is Professor of Sociology at the University of New South Wales, Australia. He is the co-editor of Health, Culture and Religion in South Asia; Men's Health: Body, Identity and Social Context; and Gender and Masculinities: Histories, Texts and Practices in India and Sri Lanka. He is the co-author of Therapeutic Pluralism: Exploring the Experiences of Cancer Patients and Professionals. Professor Jon Adams is at the Faculty of Nursing, Midwifery and Health, University of Technology Sydney (UTS) Australia

Contents: A critical social science of evidence-based healthcare; Part I Evidence in Cultural and Theoretical Context: Evidence-based medicine, clinical uncertainty, and learning to doctor, Stefan Timmermans and Alison Angell; Resisting stratification: imperialism, war machines and evidence-based practice, Dave Holmes and Patrick O'Byrne. Part II Evidence in the Clinic: Communally-based evidence in the emerging practice of aorta implant surgery, Berit Brattheim, Arild Faxvaag and Aksel Tjora; Embodied, embedded and encoded knowledge in practice: the role of clinical interpretation in neurorehabilitiation, Rob Flynn, Joanne Greenhalgh, Andrew Long and Sarah Tyson; The histories and cultures of evidence utilisation: the cases of medical oncology and haematology, Alex Broom and Jon Adams. Part III Evidence on the Margins: Evidence-based health care and complementary and alternative medicine, Kevin Dew; Patient understandings of evidence and therapeutic effectiveness, Alex Broom and Philip Tovey; Evidence-based paradigms and contemporary midwifery, Caroline Homer and Alex Broom; Evidence-based healthcare: the future research agenda, Anne-Grete Sandaunet and Evan Willis; Index.

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