Reviewed by Suzanne Calpestri,
Where's the Evidence? is a collection of essays written by William A. Silverman, a pioneer in neonatology who is well regarded for conducting one of the most important randomized control trials in medicine. (see Pediatrics vol 102:1:2 , July 1998, Fifty Years of Pediatrics: 1948-1998).
The essays were written over the past decade for a medical audience,
but their subject matter and the range of materials Silverman brings to
the discussions make them useful, and important reading for a much larger
public. Silverman centers the debates in medicine around the social consequences
of medical practice and covers such issues as the increasing and "gross
maldistribution of power between patient/family and medical techocrat;
the problems caused by a "confusion of goals" within medicine,
and the process(es) by which medical authority is established. In so doing,
he raises key questions such as, what's the new knowledge for, or, when
is medicine's benevolence on behalf of patients/families misplaced. As
a collection of key issues in the development and application of medical
knowledge, the present volume provides a wealth of case studies which
could be probed by scholars in fields such as anthropology, sociology,
public policy and philosophy.
Author's Note: The paper edition of his book can also be ordered direct by telephone at 1-800-451-7556. The price is $32.50 and the ISBN is 0192630881.
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