University of St Andrews

The Centre for Evidence and Values in Healthcare

Who we are

Andrew Blaikie

Dr Margaret McCartney

General practitioner and Senior Lecturer at the University of St Andrews. Her PhD was in conflicts of interest in medicine. Margaret is a Founder and Director of the Centre for Evidence and Values in healthcare.

Andrew Blaikie

Professor Frank Sullivan

Academic general practitioner and Chair in Primary Care Medicine, with research interests spanning data science, clinical research, and early detection of disease.  Frank is a Founder of the Centre for Evidence and Values in healthcare.

Andrew Blaikie

Professor Kevin Orr

Chair in Leadership and Governance at the Business School and has particular interests in organisations in society, leading and managing. Kevin is a Founder of the Centre for Evidence and Values in healthcare.

Andrew Blaikie

Dr Joseph Millum

Senior Lecturer in Philosophy, and as a bioethicist, is a consultant to the World Health Organisation. He is Chairperson of the International Society for Priorities in Health.  Joseph is a Founder of the Centre for Evidence and Values in healthcare.

Andrew Blaikie

Mrs Katrin Metsis

Social scientist and doctoral research fellow in the Population and Behavioural Science Division in the School of Medicine. She is interested in health inequalities and collaborates with Dr McCartney on research projects.  Katrin is the Research Assistant for the Centre for Evidence and Values in heathcare.

Andrew Blaikie

Claire McBarron

Coordinator for the Centre for Evidence and Values in healthcare.

Why the multi-disciplinary approach with Medicine, Business and Philosophy?

 

School of Medicine: Dr Margaret McCartney says the impulse to create something like this was building for a long time. “There have been so many things that have gone badly wrong in healthcare. Why did that happen? Was it predictable? Could you have learned from the past a bit more than perhaps you appear to have done?” The Centre, she says, is meant to be a place where evidence-based medicine and ethical questions can be discussed together, “because quite often there’s been patient harm as a result of those two things not being adequately considered”.

 

Business School: “Often we revert to our own silos, and we look at things in isolation from each other,” Professor Kevin Orr says. “But the complexity and the importance of questions around healthcare are best addressed through an interdisciplinary lens. That’s the gap the Centre is hopefully filling.”

 

School of Philosophy: Dr Joseph Millum, who spent 15 years as a bioethicist at the United States National Institutes of Health (NIH), sees evidence and values as inseparable rather than competing. “Where things go wrong is where people think that evidence or scientific data can operate independently of value judgements.” Decisions about whether to expand primary care, build hospitals or train more nurses, he argues, are always both empirical and ethical. “The evidence is going to tell us what we end up with. The values will help us assess which policy options we prefer. The mistake is to think that they are independent.”

 

 

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