Document Detail

Some limits to evidence-based medicine: a case study from elective orthopaedics.
MedLine Citation:
PMID:  10557685     Owner:  NLM     Status:  MEDLINE    
There has been growing interest in recent years in the application of the principles of evidence-based medicine (EBM), although implementation is complex. Scientific, organisational, and behavioural factors all combine to shape clinical behaviour change. Case study based qualitative data are presented which illuminate such processes within one clinical setting (elective orthopaedics), drawn from a larger study. It is suggested that (1) there are alternative models of what constitutes "evidence" in use; (2) scientific knowledge is in part socially constructed; and (3) clinical professionals retain a monopoly of technical knowledge. The implication is that there may be severe obstacles to the rapid or broad implementation of EBM.
E Ferlie; M Wood; L Fitzgerald
Related Documents :
21491475 - Non-homogeneous markov process models with informative observations with an application...
21119225 - On epicardial potential reconstruction using regularization schemes with the l1-norm da...
21455965 - Multigrid solver for the reference interaction site model of molecular liquids theory.
21106125 - Robust and accurate prediction of noncoding rnas from aligned sequences.
12295915 - Children as income-producing assets: the case of teen illegitimacy and government trans...
10119045 - Are any numbers better than no numbers? the sorry state of willingness-to-pay and some ...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Quality in health care : QHC     Volume:  8     ISSN:  0963-8172     ISO Abbreviation:  Qual Health Care     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-10-05     Completed Date:  1999-10-05     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9209948     Medline TA:  Qual Health Care     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  99-107     Citation Subset:  H    
Imperial Management School, Imperial College of Science, Technology, and Medicine, London, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Diffusion of Innovation
Evidence-Based Medicine*
Great Britain
Health Policy
Organizational Case Studies*
Orthopedics / organization & administration,  standards*,  trends
Quality Assurance, Health Care
Surgical Procedures, Elective / standards*
Comment In:
Qual Health Care. 1999 Jun;8(2):75   [PMID:  10557679 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Can small group education and peer review improve care for patients with asthma/chronic obstructive ...
Next Document:  Patients' increased severity of illness drives up LOS around the country.