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From evidence‐based to sustainable healthcare: Cochrane revisited
Author(s) -
Berg Henrik,
Askheim Clemet,
Heggen Kristin M.,
Sandset Tony J.,
Engebretsen Eivind
Publication year - 2022
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.13698
Subject(s) - health care , context (archaeology) , equity (law) , politics , political science , public relations , medicine , psychology , law , geography , archaeology
Evidence‐based healthcare is the prevailing model for healthcare services. In Cochrane's seminal thinking, political context was included with the purpose of promoting healthcare equity. However, the subsequent evidence‐based healthcare models marginalized political context. In this paper, we argue that current models of evidence‐based healthcare fail to respond to emerging healthcare challenges. We claim that reintegration of political context is crucial to make healthcare sustainable. Global communities are anticipating ecological crises with immense repercussions for healthcare. This prospect illustrates that healthcare models failing to integrate political context also risk neglecting some of the most relevant healthcare issues of our time.