Clinical research evidence and clinical practice Academic Article
An informal survey among colleagues turns up the far-from surprising information that the average patient contact involves at least three or four judgements and decisions: judgements about aetiology and prognosis, decisions about diagnosis and therapy, and sometimes discussions about costs and side-effects. And so it goes: 20 patients a day, 60 decisions; 100 patients a week, 300 decisions. Who makes these decisions, the doctor or the patient? What factors govern the final choice in each case? Evidence-based medicine (EBM) is the factor getting a lot of attention these days, but clinical decisions depend on many different elements. Good doctors have always made use of experience and judgement as well as the best available evidence.
Collins, John
11 Medical and Health Sciences (FoR)
16 Studies in Human Society (FoR)
Clinical Medicine (MeSH)
Evidence-Based Medicine (MeSH)
Meta-Analysis as Topic (MeSH)
Obstetrics & Reproductive Medicine (Science Metrix)
Research (MeSH)
Therapeutics (MeSH)
HUMAN REPRODUCTION Journal
Meta-Analysis as Topic
10.1093/humrep/12.9.1847