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Evidence-based medicine

A Miles1

  • 1Centre for the Advancement of Clinical Practice, European Institute of Health and Medical Sciences, University of Surrey, Guildford, UK.

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
|January 14, 1998
PubMed
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Evidence-based medicine (EBM) is debated as best practice, facing criticism in the medical press. This analysis explores EBM

Area of Science:

  • Medical Practice and Policy
  • Health Services Management
  • Clinical Decision-Making

Background:

  • Evidence-based medicine (EBM) is promoted as the standard for best professional practice.
  • This advocacy has generated significant opposition and debate within the international medical community.
  • Concerns exist regarding the definition, authority, and application of evidence in clinical settings.

Purpose of the Study:

  • To critically examine the nomenclature, claims, principles, and practical application of EBM.
  • To investigate issues of authority and competence in establishing evidence for medical practice.
  • To analyze the potential use of EBM by health service managers for clinical decision-making and resource allocation.

Main Methods:

  • Critical analysis of EBM literature and discourse.

Related Experiment Videos

  • Examination of the conceptual underpinnings of EBM.
  • Exploration of the role of health service managers in EBM implementation.

    • Main Results:

    • EBM faces significant controversy and critique regarding its definition and application.
    • Questions arise about who determines what constitutes valid evidence for practice.
    • Health service managers may selectively use EBM to influence clinical decisions and manage care.

    Conclusions:

    • The implementation of EBM is complex and contested.
    • The authority and competence in defining evidence require careful consideration.
    • Selective utilization of EBM by managers poses challenges for clinical autonomy and patient care.