6 found
  1.  84
    The importance of values in evidence-based medicine.Michael P. Kelly, Iona Heath, Jeremy Howick & Trisha Greenhalgh - 2015 - BMC Medical Ethics 16 (1):69.
    Evidence-based medicine has always required integration of patient values with ‘best’ clinical evidence. It is widely recognized that scientific practices and discoveries, including those of EBM, are value-laden. But to date, the science of EBM has focused primarily on methods for reducing bias in the evidence, while the role of values in the different aspects of the EBM process has been almost completely ignored.
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  2.  32
    Uncertainty and objectivity in clinical decision making: a clinical case in emergency medicine.Eivind Engebretsen, Kristin Heggen, Sietse Wieringa & Trisha Greenhalgh - 2016 - Medicine, Health Care and Philosophy 19 (4):595-603.
    The evidence-based practice and evidence-based medicine movements have promoted standardization through guideline development methodologies based on systematic reviews and meta-analyses of best available research. EBM has challenged clinicians to question their reliance on practical reasoning and clinical judgement. In this paper, we argue that the protagonists of EBM position their mission as reducing uncertainty through the use of standardized methods for knowledge evaluation and use. With this drive towards uniformity, standardization and control comes a suspicion towards intuition, creativity and uncertainty (...)
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  3.  27
    Co-design and implementation research: challenges and solutions for ethics committees.Felicity Goodyear-Smith, Claire Jackson & Trisha Greenhalgh - 2015 - BMC Medical Ethics 16 (1):1-5.
    BackgroundImplementation science research, especially when using participatory and co-design approaches, raises unique challenges for research ethics committees. Such challenges may be poorly addressed by approval and governance mechanisms that were developed for more traditional research approaches such as randomised controlled trials.DiscussionImplementation science commonly involves the partnership of researchers and stakeholders, attempting to understand and encourage uptake of completed or piloted research. A co-creation approach involves collaboration between researchers and end users from the onset, in question framing, research design and delivery, (...)
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    From EBM to CSM: the evolution of context‐sensitive medicine.Trisha Greenhalgh & Jennifer G. Worrall - 1997 - Journal of Evaluation in Clinical Practice 3 (2):105-108.
  5.  26
    Towards a competency grid for evidence‐based practice.Trisha Greenhalgh & Fraser Macfarlane - 1997 - Journal of Evaluation in Clinical Practice 3 (2):161-165.
  6.  8
    Rhetoric evidence and policymaking : a case study of priority setting in primary care.Jill Russell & Trisha Greenhalgh - 2011 - In Philip Dawid, William Twining & Mimi Vasilaki (eds.), Evidence, Inference and Enquiry. Oup/British Academy. pp. 267.
    This chapter describes a study undertaken as part of the UCL Evidence programme to explore how policymakers talk about and reason with evidence. Specifically, researchers were interested in the micro-processes of deliberation and meaning-making practices of a group of people charged with prioritising health care in an NHS Primary Care Trust in the UK. The chapter describes how the research study brought together ideas from rhetorical theory and methods of discourse analysis to develop an innovative approach to exploring how evidence (...)
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