[Dialogue between bioethics and evidence- based medicine, a narrative ethics perspective].

Abstract

Evidence-Based Medicine (EBM) is the methodological paradigm of Western medicine today. EBM is expected to reduce the use of intuition and to promote the use of scientific evidence, in the clinical decision-making process. Benefits of EBM in clinical practice are thoroughly documented, however, there are also critics. Among other issues, EBM is thought to contribute to an excessive reductionism, to neglect context variables and individual attributes involved in the physician-patient relationship. All the above could lead to several bioethical conflicts. This work consists in a literature review that examines the interaction between EBM and Bioethics in a reciprocity frame, in order to approach possible ethical conflicts that emerge with the use of EBM, and later analyze them from the perspective of the Narrative Ethics model, proposed by the philosopher Paul Ricoeur.