Open AccessEvidence‐based medicine in practice
Author(s) -
Duggal R.,
Menkes D. B.
Publication year - 2011
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/j.1742-1241.2011.02681.x
Subject(s) - medicine , evidence based medicine , psychological intervention , clinical practice , clinical decision making , medline , bridge (graph theory) , health care , alternative medicine , medical education , nursing , family medicine , pathology , surgery , political science , law , economics , economic growth
Evidence‐based medicine (EBM) has emerged as a dominant paradigm in healthcare, strongly influencing clinical decision‐making, access to and funding for interventions. However, EBM has a number of limitations, which appear to have been under‐represented in the literature. We explore the development and shortcomings of EBM, and consider a complementary role for practice‐based evidence in guiding clinical decision‐making. EBM is a valuable and important part of the medical landscape. However, a range of significant limitations makes over‐reliance on this paradigm problematic. Appropriate recognition of practice‐based evidence helps to bridge the gap between evidence and clinical practices.