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Evidence in Medicine – Theory, Practice and Experiment

Abstract: The modern medicine is a cognitive field with a strong influence into the modern society. The role and place of medical theory and practice is of the great importance to the world and to humanity. This text brings out to the front view the philosophical question about evidence in modern medicine. The central topic of the contemporary philosophy of medicine is focused to the process of evidence in medicine. The article presents this question in the context of the relationship: research/researchers - clinicians - patients. In the course of analysis, the idea of evidence-based medicine (EBM) and the criteria for hierarchy of evidence venerated by this movement are presented. In addition, the role and importance of the two criteria central to this movement, named randomized controlled trials (RCT's) and the hierarchy of evidence, are presented and analyzed. Special importance is given to the transition from science-based medicine to statistics-based medicine.
Keywords: philosophy of medicine, evidence; EBM, RCT’s, research/researchers - clinicians - patients, science-based medicine, statistics-based medicine.

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