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[Does evidence-based surgery harm autonomy in clinical decision making?].
Zentralbl Chir. 2005 Feb; 130(1):1-6.ZC

Abstract

Evidence-based clinical guidelines in surgery are frequently confronted with scepticism by the medical staff, especially because a confinement of free decision making in therapy is expected. Considering that medicine is not merely natural science, but can as well be comprehended as social science or art, evidence-based medicine (EbM) may lead to an oversimplified and rigid standardization in medical care ("cook book medicine"). In addition, scientific progress might be prevented by inflexible guidelines. However, it is important for surgeons to engage in the development of evidence-based guidelines in order to put forward their interests, because it is the lack of medical guidelines that might threaten free decision making in surgery - by not confronting economical pressure with decisive minimal standards in medical care. Therapeutical freedom is a substantial principle in medicine, but it should be considered that according to occidental tradition, "freedom" is necessarily involving reason and conscientiousness.

Authors+Show Affiliations

Institut für Medizinmanagement und Gesundheitswissenschaften, Universität Bayreuth.No affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

15717232

Citation

Loss, J, and E Nagel. "[Does Evidence-based Surgery Harm Autonomy in Clinical Decision Making?]." Zentralblatt Fur Chirurgie, vol. 130, no. 1, 2005, pp. 1-6.
Loss J, Nagel E. [Does evidence-based surgery harm autonomy in clinical decision making?]. Zentralbl Chir. 2005;130(1):1-6.
Loss, J., & Nagel, E. (2005). [Does evidence-based surgery harm autonomy in clinical decision making?]. Zentralblatt Fur Chirurgie, 130(1), 1-6.
Loss J, Nagel E. [Does Evidence-based Surgery Harm Autonomy in Clinical Decision Making?]. Zentralbl Chir. 2005;130(1):1-6. PubMed PMID: 15717232.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Does evidence-based surgery harm autonomy in clinical decision making?]. AU - Loss,J, AU - Nagel,E, PY - 2005/2/18/pubmed PY - 2005/8/24/medline PY - 2005/2/18/entrez SP - 1 EP - 6 JF - Zentralblatt fur Chirurgie JO - Zentralbl Chir VL - 130 IS - 1 N2 - Evidence-based clinical guidelines in surgery are frequently confronted with scepticism by the medical staff, especially because a confinement of free decision making in therapy is expected. Considering that medicine is not merely natural science, but can as well be comprehended as social science or art, evidence-based medicine (EbM) may lead to an oversimplified and rigid standardization in medical care ("cook book medicine"). In addition, scientific progress might be prevented by inflexible guidelines. However, it is important for surgeons to engage in the development of evidence-based guidelines in order to put forward their interests, because it is the lack of medical guidelines that might threaten free decision making in surgery - by not confronting economical pressure with decisive minimal standards in medical care. Therapeutical freedom is a substantial principle in medicine, but it should be considered that according to occidental tradition, "freedom" is necessarily involving reason and conscientiousness. SN - 0044-409X UR - https://www.unboundmedicine.com/medline/citation/15717232/[Does_evidence_based_surgery_harm_autonomy_in_clinical_decision_making]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2004-836267 DB - PRIME DP - Unbound Medicine ER -