We’ve been following the excellent, analytical work of @Trisha Greenhalgh
Her latest paper, written in partnership with several colleagues is:

Evidence Based Medicine:
A Movement in Crisis
?

” Real evidence based medicine has the care of individual patients as its top priority
It asks  “what is the best course of action for this patient, in these circumstances, at this point in their illness or condition?”
It consciously and reflexively refuses to let process (doing tests, prescribing medicines) dominate outcomes (the agreed goal of management in an individual case).
It engages with an ethical and existential agenda
(how should we live? when should we accept death?)
and with that goal in mind, carefully distinguishes between whether to investigate, treat, or screen and how to do so”

Read the full article here.

 


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