Publicado 2024-04-04
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El juicio clínico se ha convertido en un tópico capital para la filosofía de la medicina y la profesión médica desde los sesenta. Tras el desarrollo de la medicina basada en la evidencia en los noventa, se espera una mayor sensibilidad en el juicio clínico frente a las necesidades y preferencias de los pacientes ante las amenazas de enfoques positivistas, que, se considera, descuidan la individualidad. Este artículo aborda este problema a la luz de una filosofía de la medicina más sensible a los componentes históricos de la epistemología, la ontología y la ética. Se dirige la mirada al siglo XIX para dilucidar las tensiones en torno al lugar de los conocimientos médicos y la apuesta por dotar al juicio clínico de nuevos métodos para la mejora profesional. Este retorno al pasado ayuda a comprender las transformaciones actuales del campo de la medicina, especialmente en cuanto a cómo ayudan a constituir nuevos tipos de pacientes, nuevos tipos de ethos profesional y nuevas formas de relación entre dichos actores.
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- Armstrong, D. (1978). Clinical Sense and Clinical Sciences. Social Sciences and Medicine, 11(11-13), 599-601 DOI: https://doi.org/10.1016/0037-7856(77)90041-5.
- Armstrong, D. (2002). Clinical Autonomy, Individual and Collective: The Problem of Changing Doctor´s Behavior. Social Sciences and Medicine, 55(10), 1771-1777. DOI: https://doi.org/10.1016/s0277-9536(01)00309-4.
- Bench, J. (1989). Health Sciences, Natural Sciences and Clinical Knowledge. The Journal of Medicine and Philosophy, 14(2),147-164. DOI: https://doi.org/10.1093/jmp/14.2.147.
- Berg, M. (1995). Turning a Practice into a Science: Reconceptualizing Postwar Medical Practice. Social Studies of Science, 25(3), 437-476. DOI: https://doi.org/10.1177/030631295025003002.
- Boussageon, R. (2011). L’evidence based medicine (ebm) et la légitimité du pouvoir de guérir. Revue d’Éthique et de Théologie Morale, 266, 33-46. DOI: https://doi.org/10.3917/retm.266.0033.
- Canguilhem, G. (2011). Lo normal y lo patológico. R. Potschart (trad.). Siglo XXI.
- Carr-Hill, R. (1995). Welcome? To the Brave New World of Evidence-Based Medicine. Social Sciences and Medicine, 41(11), 1467-1468. DOI: https://doi.org/10.1016/0277-9536(95)00351-7.
- Cunningham, T. (2015). Objectivity, Scientificity, and the Dualist Epistemology of Medicine. En P. Huneman, G. Lambert en M. Silberstein (eds.), Classification, Disease and Evidence: New Essays in the Philosophy of Medicine. (pp. 1-17). Springer.
- Cryle, P. y Stephens, E. (2017). Normality: A Critical Genealogy. The University of Chicago Press.
- Chin-Yee, B. y Upshur, R. (2017). Clinical Judgement in the Era of Big Data and Predictive Analytics. Journal of Evaluation in Clinical Practice, 24(3), 638-645. DOI: https://doi.org/10.1111/jep.12852.
- Daston, L. (1992). Objectivity and the Escape from Perspective. Social Studies of Science, 22(4), 597-618. DOI: https://doi.org/10.1177/030631292022004002.
- Davidoff, F., Haynes, B., Sackett, D. y Smith, R. (1995). Evidence Based Medicine. British Medical Journal, 310(6987), 1085-1086 DOI: https://doi.org/10.1136/bmj.310.6987.1085.
- Davidson, A. I. (2004). La aparición de la sexualidad. La epistemología histórica y la formación de los conceptos. J. G. López Guix (trad.). Alpha Decay.
- Davis, F. D. (1997). Phronesis, Clinical Reasoning, and Pellegrino’s Philosophy of Medicine. Theoretical Medicine, 18(1-2), 173-195.
- Desrosieres, A. (2010). The Politics of Large Numbers: A History of Statistical Reasoning. Harvard University Press.
- Djulbegovic, B. y Guyatt, G. H. (2017). Progress in Evidence-Based Medicine: A Quarter Century On. The Lancet, 390(10092), 415-423. DOI: https://doi.org/10.1016/S0140-6736(16)31592-6.
- Elstein, A. (1976). Clinical Judgment. Psychological Research and Clinical Practice. Science, 194(4266), 696-700. DOI: https://doi.org/10.1126/science.982034.
- Engelhardt, T. (1979) Introduction. En T. Engelhardt, S. Spicker y B. Towers (eds.), Clinical Judgment: A Critical Appraisal. Proceedings of the Fifth Trans-Disciplinary Symposium on Philosophy and Medicine Held at Los Angeles, California, April 14–16, 1977. (pp. xi-xxiv). Reidel.
- Evidence-Based Medicine Working Group. (1992). Evidence Based Medicine. A New Approach to Teaching the Practice of Medicine. JAMA, 268(17), 2420-2425. DOI: https://doi.org/10.1001/jama.1992.03490170092032.
- Fava, G. A. (2017). Evidence-Based Medicine Was Bound to Fail: A Report to Alvan Feinstein. Journal of Clinical Epidemiology, 84, 3-7. https://doi.org/10.1016/j.jclinepi.2017.01.012.
- Fléchet, J. (1965). Philosophie et vérité 1 e 2. [Video]. Réseau Canopé. URL: https://tube.reseau-canope.fr/w/qpDZxTjn7Q4UKzek8iaWQD.
- Feinstein, A. R. (1967). Clinical Judgment. The Williams & Wilkins Company.
- Feinstein, A. R. (1994). Clinical Judgment Revisited: The Distraction of Quantitative Models. Annals of Internal Medicine, 120(9), 799-805. https://doi.org/10.7326/0003-4819-120-9-199405010-00012.
- Feinstein, A. y Horwitz, R. (1997). Problems in the “Evidence” of Evidence-Based Medicine. The American Journal of Medicine, 103(6), 529-535. DOI: https://doi.org/10.1016/s0002-9343(97)00244-1.
- Foucault, M. (1966). El nacimiento de la clínica. Una arqueología de la mirada médica. F. Perujo (trad.). Siglo XXI.
- Foucault, M. (2012). Historia de la sexualidad. 2. El uso de los placeres. Buenos Aires M. Soler (trad.). Siglo XXI.
- Gadamer, H.-G. (1977). Verdad y método. I. A. Gut y R. de Agapito (trad.). Ediciones Sígueme.
- Geroulanos, S. (2015). Violence and Mechanism: Georges Canguilhem’s Overturning of the Cartesian Legacy. Qui Parle, 24(1), 125-146. URL: https://doi.org/10.5250/quiparle.24.1.0125.
- Grahame-Smith, D. (1995). Evidence Based Medicine: Socratic Dissent. British Medical Journal, 310(6987), 1126-1127. DOI: https://doi.org/10.1136/bmj.310.6987.1126.
- Giroux, E. (2014). Qu’entendre par ‘sens clinique’ à l’heure de l’Evidence-Based Medicine et de la Patient-Based Medicine? Etiqué & Santé, 11(1), 20-25. DOI: https://doi.org/10.1016/j.etiqe.2014.01.002.
- Goldenberg, M. (2010). Clinical Evidence and the Absent Body in Medical Phenomenology: On the Need for a New Phenomenology of Medicine. International Journal of Feminist Approaches to Bioethics, 3(1), 43-71. DOI: https://doi.org/10.3138/ijfab.3.1.43.
- Guyatt, G. H., Haynes, B., Jaeschke, R. Z., Cook, D. J., Green, L., Naylor, C. D., Wilson, M. C. y Richardson, W. S. (2000). Users’ Guides to the Medical Literature XXV. Evidence-Based Medicine: Principles for Applying the Users’ Guides to Patient Care. JAMA, 284(10), 1290-1296. DOI: https://doi.org/10.1001/jama.284.10.1290.
- Hacking, I. (1991). La domesticación del azar: la erosión del determinismo y el nacimiento de las ciencias del caos. A. L. Bixio (trad.). Gedisa.
- Hacking, I. (2002). Historical Ontology. Harvard University Press.
- Hampton, J. (1997). Evidence Based Medicine, Practice Variations and Clinical Freedom. Journal of Evaluation in Clinical Practice, 3(2), 123-131. DOI: https://doi.org/10.1046/j.1365-2753.1997.00094.x.
- Hanemaayer, A (2016). Evidence-Based Medicine. A Genealogy of the Dominant Sciences of Medical Education. Journal of Medical Humanities, 37(4), 449-473. DOI: https://doi.org/10.1007/s10912-016-9398-0.
- Haynes, B., Devereaux, P. J. y Guyatt, G. H. (2002). Clinical Expertise in the Era of Evidence-Based Medicine and Patient Choice. BMJ Evidence-Based Medicine, 7, 36-38. DOI: https://doi.org/10.1136/ebm.7.2.36.
- Henry, S. (2006). Recognizing Tacit Knowledge in Medical Epistemology. Theoretical Medicine and Bioethics, 27(3), 187-213. DOI: https://doi.org/10.1007/s11017-006-9005-x.
- Hurwitz, B. (1996). Clinical Guidelines and the Law: Negligence, Discretion, and Judgment. CRC Press.
- Kienle, G. y Kiene, H. (2011). Clinical Judgement and the Medical Profession. Journal of Evaluation in Clinical Practice, 17(4), 621-627. DOI: https://doi.org/10.1111/j.1365-2753.2010.01560.x.
- Lambert, H. (2006). Accounting for EBM: Notions of Evidence in Medicine. Social Sciences and Medicine, 62(11), 2633-2645. DOI: https://doi.org/10.1016/j.socscimed.2005.11.023.
- Malterud, K. (1995). The Legitimacy of Clinical Knowledge: Towards a Medical Epistemology Embracing the Art of Medicine. Theoretical Medicine, 16(2), 183-198. DOI: https://doi.org/10.1007/bf00998544.
- Matthews, R. (1995). Quantification and the Quest for Medical Certainty. Princeton University Press.
- Marcum, J. (2008). An Introductory Philosophy of Medicine: Humanizing Modern Medicine. Springer.
- Marcum, J. (2009). The Epistemically Virtuous Clinician. Theoretical Medicine and Bioethics, 30(3), 249-265. DOI: https://doi.org/10.1007/s11017-009-9109-1.
- Meehl, P. (1954). Clinical versus Statistical Prediction: A Theoretical Analysis and a Review of the Evidence. University of Minnesota Press.
- McCullough, L. (2013). Critical Appraisal of Clinical Judgment: An Essential Dimension of Clinical Ethics. Journal of Medicine and Philosophy, 38(1), 1-5. DOI: https://doi.org/10.1093/jmp/jhs055.
- Macnaughton, J. (1998). Evidence and Clinical Judgment. Journal of Evaluation in Clinical Practice, 4(2), 89-92. DOI: https://doi.org/10.1111/j.1365-2753.1998.00002.x.
- Montgomery, K. (2006). How Doctors Think: Clinical Judgment and the Practice of Medicine. Oxford University Press.
- Parker, M. (2002). Whither Our Art? Clinical Wisdom and Evidence-Based Medicine. Medicine, Health Care and Philosophy, 5, 273-280. DOI: https://doi.org/10.1023/A:1021116516342.
- Parker, M. (2005). False Dichotomies: EBM, Clinical Freedom, and the Art of Medicine. Medical Humanities, 31(1), 23-30. DOI: https://doi.org/10.1136/jmh.2004.000195.
- Pellegrino, E. (1979). The Anatomy of Clinical judgments: Some Notes on Right Reason and Right Action. En T. Engelhardt, S. Spicker y B. Towers (eds.), Clinical Judgment: A Critical Appraisal. Proceedings of the Fifth Trans-Disciplinary Symposium on Philosophy and Medicine Held at Los Angeles, California, April 14–16, 1977. (pp. 169-194). Reidel.
- Rosenberg, W. y Donald, A. (1995). Evidence Based Medicine: An Approach to Clinical Problem Solving. British Medical Journal, 310(6987), 1122-1126. DOI: https://doi.org/10.1136/bmj.310.6987.1122.
- Sackett, D. L., Rosenberg, W. M. C., Muir Gray, J. A., Haynes, R. B. y Richardson, W. S. (1996). Evidence Based Medicine: What It Is and What It Isn’t. British Medical Journal, 312, 71-72. DOI: https://doi.org/10.1136/bmj.312.7023.71.
- O’Sullivan, E. D. y Schofield, S. (2018). Cognitive Bias in Clinical Medicine. The Journal of the Royal College of Physicians of Edinburgh, 48(3), 225-232. DOI: https://doi.org/10.4997/jrcpe.2018.306.
- Tanenbaum, S. (1993). What Physicians Know. New England Journal of Medicine, 329(17), 1268-1271. DOI: https://doi.org/10.1056/NEJM199310213291713.
- Timmermans, S. y Berg, M. (2003). The Gold Standard: The Challenge of Evidence-Based Medicine and Standardization in Healthcare. Temple University Press.
- Timmermans, S. y Kolker, E. (2004). Evidence Based Medicine and the Reconfiguration of Medical Knowledge. Journal of Health and Social Behavior, 45, 177-193.
- Thomasma, D. (1988). Applying General Medical Knowledge to Individuals: A Philosophical Analysis. Theoretical Medicine, 9, 187-200. DOI: https://doi.org/10.1007/BF00489412.
- Tobacman, J. y Wenzel, R. (1990). Clinical Epidemiology: Further Consideration. Journal of Clinical Epidemiology, 34(7), 633-635. DOI: https://doi.org/10.1016/0895-4356(90)90032-k.
- Tonelli, M. (1998). The Philosophical Limits of Evidence-Based Medicine. Academic Medicine, 73(12), 1234-1240. DOI: https://doi.org/10.1097/00001888-199812000-00011.
- Thorgaard, K. y Jensen, U. (2011). Evidence and the End of Medicine. Medicine, Healthcare and philosophy, 14, 273-280. DOI: https://doi.org/10.1007/s11019-011-9314-3.
- Thornton, T. (2010). Clinical Judgement, Expertise and Skilled Coping. Journal of Evaluation in Clinical Practice, 16(2), 284.291. DOI: https://doi.org/10.1111/j.1365-2753.2010.01386.x.
- Tröhler, U. (2000). “To Improve the Evidence in Medicine:” The 18th Century British Origins of a Critical Approach. Royal College of Physicians of Edinburgh.
- Upshur, R. y Chin-Yee, B. (2017). Clinical Judgment. In M. Solomon, J. Simon y H. Kincaid (eds.), The Routledge Companion to Philosophy of Medicine. (pp. 363-371). Routledge.
- Weisz, G. (2005). From Clinical Counting to Evidence-Based Medicine. En G. Forland, A. Oppinel y G. Weisz (eds.), Body Counts: Medical Quantification in Historical and Sociological Perspectives. (pp. 377-393). McGill-Queen’s University Press.
- Wieland, W. (1993). The Concept of Art of Medicine. En C. Delkeskamp-Kayes (ed.), Science, Technology, and the Art of Medicine. (pp. 165-181). Springer.
- Wieten, S. (2018). Expertise in Evidence Based Medicine: A Tale of Three Models. Philosophy, Ethics and Humanities in Medicine, 13(1), 1-7. DOI: https://doi.org/10.1186/s13010-018-0055-2.