Format

Send to

Choose Destination
Health Aff (Millwood). 2005 Jan-Feb;24(1):18-28.

The promises and pitfalls of evidence-based medicine.

Author information

1
Brandeis University, Waltham, Massachusetts, USA. Timmermans@brandeis.edu

Abstract

Evidence-based medicine (EBM) aims to address the persistent problem of clinical practice variation with the help of various tools, including standardized practice guidelines. While advocates welcome the stronger scientific foundation of such guidelines, critics fear that they will lead to "cookbook medicine." Studies show, however, that few guidelines lead to consistent changes in provider behavior. The hopes, fears, and mixed record of EBM are rooted in the traditional professional perspective of the clinician as sole decisionmaker. Multifaceted implementation strategies that take the collaborative nature of medical work into consideration promise more effective changes in clinical practice.

Comment in

PMID:
15647212
DOI:
10.1377/hlthaff.24.1.18
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center