Medical Nihilism
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Product details:
- Publisher OUP Oxford
- Date of Publication 15 March 2018
- ISBN 9780198747048
- Binding Hardback
- No. of pages242 pages
- Size 241x164x24 mm
- Weight 544 g
- Language English 0
Categories
Short description:
Medical nihilism is the view that we should have little confidence in the effectiveness of medical interventions. Jacob Stegenga argues persuasively that this is how we should see modern medicine, and suggests that medical research must be modified, clinical practice should be less aggressive, and regulatory standards should be enhanced.
MoreLong description:
This book argues that if we consider the ubiquity of small effect sizes in medicine, the extent of misleading evidence in medical research, the thin theoretical basis of many interventions, and the malleability of empirical methods, and if we employ our best inductive framework, then our confidence in medical interventions ought to be low.
Ultimately, medical nihilism is an important topic in healthcare today, and the present book is a significant addition to that topic, which deserves wide readership and engagement.
Table of Contents:
Introduction
Part I. Concepts
Effectiveness of Medical Interventions
Effectiveness and Medicalization
Magic Bullets
Part II. Methods
Down with the Hierarchies
Malleability of Meta-Analysis
Assessing Medical Evidence
Measuring Effectiveness
Hollow Hunt for Harms
Part III. Evidence and Values
Bias and Fraud
Medical Nihilism
Conclusion
Appendix 1. Bayes' Theorem and Screening
Appendix 2. Measurement Scales
Appendix 3. Epistemic Proof of Superiority of RD over RR
Appendix 4. Decision-Theoretic Proof of Superiority of RD over RR
Appendix 5. Modeling the Measurement of Effectiveness
