Evidence-Based or Person-Centered? An Ontological Debate

puzzle-of-cancer_scientific-americanIn a recent paper published in European Journal for Person Centered Healthcare, I argue that the choice between EBM and person centered healthcare is a choice between conflicting ontologies, involving two very different notions of causation. While the methodology and practice of EBM seems perfectly supported by positivism and a Humean theory of causation, person centered healthcare does not. There is, however, a trend called the EBM Renaissance Movement, attempting to make EBM more person centered. In the CauseHealth project, we urge that person centered healthcare and practice requires a very different ontology and methodology from the positivist scientific ideal inspired by David Hume. Continue reading