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
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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.
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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 ]

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