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Evidence-based medicine and general practice

Jacobson, Lionel, Edwards, Adrian, Granier, S. K. and Butler, Christopher Collett 1997. Evidence-based medicine and general practice. British Journal of General Practice (BJGP) 47 (420) , pp. 449-452.

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Abstract

Evidence-based medicine (EBM) aids clinical decision making in all fields of medicine, including primary care. General practice is characterized by particular emphasis on the doctor-patient relationship and on biomedical, personal and contextual perspectives in diagnosis. Most evidence available to general practitioners (GPs) addresses only the bio-medical perspective and is often not directly applicable to primary care, as it derives from secondary or tertiary care. Emphasis on the biomedical domain and the randomized controlled trial (RCT) alone reflects a reductionist approach that fails to do justice to the philosophy of general practice. The art of medicine is founded on context, anecdote, patient stories of illness and personal experience, and we should continue to blend this with good quality and appropriate research findings in patient care.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Systems Immunity Research Institute (SIURI)
Subjects: R Medicine > R Medicine (General)
Publisher: Royal College of General Practitioners
ISSN: 0960-1643
Last Modified: 30 Jun 2017 03:30
URI: http://orca-mwe.cf.ac.uk/id/eprint/59634

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