Integrating Values into Evidence-Based Medicine (INVITE)

Integrating Values into Evidence-Based Medicine (INVITE)

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Leah McClimans

Profile:

My interest is at the intersection of philosophy of medicine and ethics including work on quality of life measurement as an outcome, the entanglement of ethics and evidence in issues such as place of birth and elective reductions, and the evaluation of clinical ethics services. Currently, I hold a Marie Curie ASSISTID fellowship held at University College Cork from 2017-2019 to investigate how we can improve the evidence base for assistive technologies for autistic children. My strategy is to investigate the role that values play in the construction of evidence such as clinical guidelines and health technology assessments.

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Background and Aims
Although the original conception of evidence-based medicine (EBM) includes the conscious integration of patient values with the best clinical evidence, the ways values integrate into EBM extend well beyond patient values in the application of EBM. Values play roles in multiple points along the EBM path. From the prioritization of RCTs in the construction of high quality evidence, to decisions about what, e.g. guidelines to develop, to the evaluation of evidence as beneficial or effective, to how we apply evidence in patient populations, values are inherent in EBM. While the philosophical and bioethics literature has made significant contributions in identifying and analyzing these different roles, there is relatively little guidance about how to recognize and integrate consciously, values into the practice of EBM. Values are often neglected in EBM. Their neglect tends to efface them from practice, allowing practitioners to operate with a set of biases about what counts as evidence, e.g. methodologically sound evidence can be purified of judgement, evidence is value-free, facts and values are distinct and evidence is a fact. These biases have real world consequences.
Objectives
Our main objective is to create a platform for discussing practical steps to recognize and integrate consciously, values into the practice of EBM. A second objective is to pilot of some the ideas that arise from our discussion. To achieve these objectives INVITE will
List of Members
Please see Here
How to Join
Please contact Leah McClimans (mccliman@mailbox.sc.edu) for more information and/or to join our network listserv. All are welcome!

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Inaugural Event
INVITE’s inaugural Advanced Studies Seminar on was held on 30th April 2018 at St Catherine’s College Oxford University. This event brought together philosophers, bioethicists and public health researchers who have acted as thought leaders in the area of values in EBM. For further details, please see Meeting Agenda Meeting Presentations List of Participants

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WikiVBP Reference Library

The wikiVBP Reference Library aims to provide a focused resource of literature and other materials supporting training, research and policy developments in values-based practice.

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Key Areas of Collaboration

Core activities of the Centre are based around three inter-linked areas, Education, Regulation and Integration, together with crosscutting themes of Theory and Practice

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Values-based Surgical Care

Values-based practice in surgery is an innovative approach to decision making in surgery, linking science with people.

 

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Training Materials and Resources

The CUP Book Series

Cambridge University Press has a VBP book series.

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