SciELO - Scientific Electronic Library Online

vol.29 número1Four cases of Jarcho-Levin’s syndrome in the province of Antioquia, ColombiaFinancial cost of early rheumatoid arthritis in the first year medical attention: three clinical scenarios índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados



Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Não possue artigos similaresSimilares em SciELO
  • Em processo de indexaçãoSimilares em Google



versão impressa ISSN 0120-4157


HENAO, Daniel Eduardo  e  JAIMES, Fabián Alberto. Evidence-based medicine: an epistemological approach. Biomédica [online]. 2009, vol.29, n.1, pp.33-42. ISSN 0120-4157.

Evidence-based medicine gathers physician’s experience and the best scientific evidence to make medical decisions. This proposal has been widely promulgated by medical opinion leaders. Despite a large literature supporting this practice, a formal discussion has not been established regarding its epistemological consequences in daily medical work. The main proposal of evidence-based medicine consists of choosing the best medical decision according to the best available results from scientific studies. Herein, the goal was to highlight inappropriate application of the scientific method used by physics to clinical science. The inaccuracy resides in describing health and disease in strictly numeric equivalents that can be homogenized on a continuous scale. Finally, the authors consider each diseased human being as a complex system, unique and particular, and that this being is defined by an historical background as well as current actual context. Therefore, evidence-based medicine possesses certain limitations that must be recognized in order to to provide better health care to patients.

Palavras-chave : evidence-based medicine; epidemiology; knowledge; science.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )


Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons