[Evidence-based medicine: criticisms and future challenges]

Evidence-based Health Care (EBHC) has been influencing almost all fields of health care in the last fifteen years: clinical practice, professional education, health policy, consumer information, planning of clinical research. Criticisms and future challenges of EBHC suggest that a better implementation of evidence should be supported by integrate and collaborative efforts of health care systems. Recognizing EBHC as a powerful approach for integrating clinical practice and continuing education; establishing clinical governance as health policy strategy to improve the quality of care; managing consumer health information; financing independent research, especially towards grey zones relevant for public health.