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Evidence-based medicine and the implementation gap

Evidence-based medicine and the implementation gap
Evidence-based medicine and the implementation gap
Evidence-based medicine was one of the earliest manifestations of evidence-based policy and practice, and has exercised substantial influence on other policy areas. Based on data from seven empirical studies carried out between 1993 and 1999, this article examines the origins and impact of EBM, and the complexities of implementation which have emerged. Policy makers and EBM enthusiasts alike have frequently taken a somewhat simplistic view of the implementation gap they seek to address. Understanding clinicians' mixed reactions to the rhetoric of EBM helps explain both why EBM has had as much impact as it has, and why it has sometimes been resisted and rejected. Although other areas of public policy can learn from the experience of EBM, there are distinctive features of health care which set it apart, notably the continued autonomy and dominance of the medical profession and the strong influence of the biomedical science model on what is considered legitimate evidence.
implementation, model, change management, policy, systematic reviews, england, guidelines, time, health, london, care, professional autonomy, evidence-based medicine
1363-4593
311-330
Dopson, Sue
c47fd52d-5e57-4d38-8595-99889619d961
Locock, Louise
5a386f03-e28a-4db8-bfb3-fc46b1e6dccd
Gabbay, John
d779b76c-febe-461b-b3bb-e110163f114a
Ferlie, Ewan
2ce14bc7-da7e-4b33-b336-7f24a2cb4428
Fitzgerald, Louise
765b3b06-cc84-4d9f-9b32-5d8464187745
Dopson, Sue
c47fd52d-5e57-4d38-8595-99889619d961
Locock, Louise
5a386f03-e28a-4db8-bfb3-fc46b1e6dccd
Gabbay, John
d779b76c-febe-461b-b3bb-e110163f114a
Ferlie, Ewan
2ce14bc7-da7e-4b33-b336-7f24a2cb4428
Fitzgerald, Louise
765b3b06-cc84-4d9f-9b32-5d8464187745

Dopson, Sue, Locock, Louise, Gabbay, John, Ferlie, Ewan and Fitzgerald, Louise (2003) Evidence-based medicine and the implementation gap. Health, 7 (3), 311-330. (doi:10.1177/1363459303007003004).

Record type: Article

Abstract

Evidence-based medicine was one of the earliest manifestations of evidence-based policy and practice, and has exercised substantial influence on other policy areas. Based on data from seven empirical studies carried out between 1993 and 1999, this article examines the origins and impact of EBM, and the complexities of implementation which have emerged. Policy makers and EBM enthusiasts alike have frequently taken a somewhat simplistic view of the implementation gap they seek to address. Understanding clinicians' mixed reactions to the rhetoric of EBM helps explain both why EBM has had as much impact as it has, and why it has sometimes been resisted and rejected. Although other areas of public policy can learn from the experience of EBM, there are distinctive features of health care which set it apart, notably the continued autonomy and dominance of the medical profession and the strong influence of the biomedical science model on what is considered legitimate evidence.

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More information

Published date: April 2003
Keywords: implementation, model, change management, policy, systematic reviews, england, guidelines, time, health, london, care, professional autonomy, evidence-based medicine

Identifiers

Local EPrints ID: 61762
URI: https://eprints.soton.ac.uk/id/eprint/61762
ISSN: 1363-4593
PURE UUID: 240d2f8a-b364-4600-bcb9-2260a35f1a80

Catalogue record

Date deposited: 10 Sep 2008
Last modified: 13 Mar 2019 20:28

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