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Making Medical Knowledge$
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Miriam Solomon

Print publication date: 2015

Print ISBN-13: 9780198732617

Published to Oxford Scholarship Online: June 2015

DOI: 10.1093/acprof:oso/9780198732617.001.0001

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From the NIH Model to the Danish Model

From the NIH Model to the Danish Model

The Medical Consensus Conference Movement

(p.63) 3 From the NIH Model to the Danish Model
Making Medical Knowledge

Miriam Solomon

Oxford University Press

This chapter explores the development of the medical consensus conference movement. The NIH Consensus Development Conference Program was the model for medical consensus conferences in the US, Canada, Northern Europe, and internationally. Medical conferences vary in their format, participation, and scope, each modifying the NIH model in different ways. North American medical consensus conferences mostly use experts to establish epistemic authority; European conferences mostly use laypersons on their consensus panels to underscore the democracy of the proceedings. The NIH Program is the only one that eschews ethical, political, social, and economic matters altogether. The result is called “technical consensus.” The Danish model is at the other extreme, and intended to begin the political process that continues in parliament. The result is called “interface consensus.” The main difficulty with consensus conferences, ironically, is that they have not been successful at dealing with major controversies.

Keywords:   NIH Consensus Development Conference Program, technical consensus, interface consensus, consensus conference, Danish consensus conference, medical consensus conference, consensus panel

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