Predicting the Effectiveness of Medical Interventions
type: CreativeWork
description: This dissertation explores several conceptual and methodological features of medical science that influence our ability to accurately predict medical effectiveness. Making reliable predictions about the effectiveness of medical treatments is crucial to mitigating death and disease and improving individual and population health, yet generating such predictions is fraught with difficulties. Each chapter deals with a unique challenge to predictions of medical effectiveness. In Chapter 1, I describe and analyze the principles underlying three prominent approaches to physical disease classification—the etiological, symptom-based, and pathophysiological models—and suggest a broadly pragmatic approach whereby appropriate classifications depend on the goal in question. In line with this, I argue that particular features of the pathophysiological model, such as its focus on disease mechanisms, make it most relevant for predicting medical effectiveness. Chapter 2 explores the debate between those who argue that statistical evidence is sufficient for inferring medical effectiveness and those who argue that we require both statistical and mechanistic evidence. I focus on the question of how mechanistic and statistical evidence can be integrated. I highlight some of the challenges facing formal techniques, such as Bayesian networks, and use Toulmin’s model of argumentation to offer a complementary model of evidence amalgamation, which allows for the systematic integration of statistical and mechanistic evidence. In Chapter 3, I focus on p-hacking, an application of analytic techniques that may lead to exaggerated experimental results. I use philosophical tools from decision theory to illustrate how severe the effects of p-hacking can be. While it is typically considered epistemically questionable and practically harmful, I appeal to the argument from inductive risk to defend the view that there are some contexts in which p-hacking may be warranted. Chapter 4 draws attention to a…
abstract: This dissertation explores several conceptual and methodological features of medical science that influence our ability to accurately predict medical effectiveness. Making reliable predictions about the effectiveness of medical treatments is crucial to mitigating death and disease and improving individual and population health, yet generating such predictions is fraught with difficulties. Each chapter deals with a unique challenge to predictions of medical effectiveness. In Chapter 1, I describe and analyze the principles underlying three prominent approaches to physical disease classification—the etiological, symptom-based, and pathophysiological models—and suggest a broadly pragmatic approach whereby appropriate classifications depend on the goal in question. In line with this, I argue that particular features of the pathophysiological model, such as its focus on disease mechanisms, make it most relevant for predicting medical effectiveness. Chapter 2 explores the debate between those who argue that statistical evidence is sufficient for inferring medical effectiveness and those who argue that we require both statistical and mechanistic evidence. I focus on the question of how mechanistic and statistical evidence can be integrated. I highlight some of the challenges facing formal techniques, such as Bayesian networks, and use Toulmin’s model of argumentation to offer a complementary model of evidence amalgamation, which allows for the systematic integration of statistical and mechanistic evidence. In Chapter 3, I focus on p-hacking, an application of analytic techniques that may lead to exaggerated experimental results. I use philosophical tools from decision theory to illustrate how severe the effects of p-hacking can be. While it is typically considered epistemically questionable and practically harmful, I appeal to the argument from inductive risk to defend the view that there are some contexts in which p-hacking may be warranted. Chapter 4 draws attention to a…
author: Erasmus, Adrian
language: eng
keywords: Philosophy of Medicine, Medical Effectiveness
license: https://www.repository.cam.ac.uk/bitstreams/e8899194-8fb0-4df7-8492-aaa7d2d1cf45/download
license: https://www.rioxx.net/licenses/all-rights-reserved/
date published: 2021-05-01
date modified: 2026-07-24T01:33:33Z
provider: Cambridge University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of Cambridge

PropertyValue
property ID: DOI
value: 10.17863/CAM.72410