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Reasonableness, Credibility, and Clinical Disagreement.
Mary Jean Walker1, Wendy A Rogers
1Research fellow in the ethics program of the ARC Centre of Excellence for Electromaterials Science in the Philosophy Department at Monash University in Melbourne, Australia.
AMA Journal of Ethics
|February 23, 2017
Summary
Understanding medical evidence requires recognizing how source credibility influences interpretation. Reflective awareness is key to distinguishing reasonable disagreements from evidence dismissal.
Area of Science:
- Medical Epistemology
- Philosophy of Science
- Evidence-Based Medicine
Background:
- Medical evidence interpretation is complex, with disagreements arising from varied or unreasonable assessments.
- Distinguishing between reasonable interpretation differences and outright dismissal of evidence is challenging.
Purpose of the Study:
- To demonstrate how factors beyond evidence, like source credibility, affect its assessment.
- To highlight the need for critical self-reflection in evaluating medical claims.
Main Methods:
- Conceptual analysis of evidence evaluation processes.
- Exploration of cognitive and social factors influencing evidence appraisal.
Main Results:
- Evidence assessment is significantly swayed by beliefs about the source's credibility.
- Subjective factors often override objective evidence in medical decision-making.
Conclusions:
- Awareness of external influences on evidence interpretation is crucial for sound medical reasoning.
- Promoting reflective practice can improve the objective evaluation of medical evidence.
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