Titre :
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The social and cultural shaping of medical evidence : Case studies from pharmaceutical research and obstetric science : Gift horse or Trojan horse ? Social science perspectives on evidence-based health care. (2006)
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Auteurs :
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DE VRIES (Raymond) : USA. University of Michigan. Ann Arbor. MI. ;
Trudo Lemmens
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 62, n° 11, 2006)
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Pagination :
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2694-2706
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Langues:
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Anglais
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Mots-clés :
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Europe sociale
;
Etude cas
;
Grossesse
;
Obstétrique
;
Sciences
;
Sociologie
;
Sage femme
;
Profession santé
;
Europe
;
Pays Bas
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Résumé :
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[BDSP. Notice produite par INIST-CNRS J2tR0xJt. Diffusion soumise à autorisation]. Most critiques of evidence-based medicine (EBM) focus on the scientific shortcomings of the technique. Social scientists are more likely to criticize EBM for it ideological biases, a criticism that makes sociological sense but is difficult to substantiate. Using data from our studies of (1) the influence of pharmaceutical companies on the conduct and reporting of clinical trials, and (2) obstetric science in the Netherlands (where nearly one-third of births occur at home) we show how the evidence of evidence-based medicine is shaped by forces both structural and cultural. The threats to objective evidence are many, and, if EBM is to be true to its own principles, it must take these threats into account.
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