Are you wedded to the evidence-based model, in any field? Why not have a look a The British Medical Journals critique of evidence-based medicine, Looks like its not as the unshakeable monolith of true understanding some presume it to be... Crisis in evidence based medicine? • The evidence based “quality mark” has been misappropriated by vested interests • The volume of evidence, especially clinical guidelines, has become unmanageable • Statistically significant benefits may be marginal in clinical practice • Inflexible rules and technology driven prompts may produce care that is management driven rather than patient centred • Evidence based guidelines often map poorly to complex multi-morbidity
Posted on: Sun, 29 Jun 2014 07:50:56 +0000
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