Knowing and acting in medical practice: the epistemological politics of outcomes research.

@article{Tanenbaum1994KnowingAA,
  title={Knowing and acting in medical practice: the epistemological politics of outcomes research.},
  author={Sandra J. Tanenbaum},
  journal={Journal of health politics, policy and law},
  year={1994},
  volume={19 1},
  pages={27-44}
}
Recent health care policymaking favors outcomes research as a response to the putative ineffectiveness, as well as the undeniable expense, of American medicine. This small-scale ethnographic study conducted in a department of internal medicine evaluates claims that probabilistic knowledge will improve clinical practice. It finds that physicians are primarily determinists and that although they reason probabilistically in some instances, they rely on personal experience over research data at… CONTINUE READING