The effective practice of evidence-based medicine requires the application of ‘current best evidence’ to individual patient care.1 While there is consensus that it is critical to include patients’ individual preferences in medical decision-making,1–4 the best way to involve patients in the process is unclear. Patient preferences may be dictated by specifi c circumstances, such as age, as well a...

Changing physician behaviour has become an important focus of medicine over the past two decades. The rapid expansion of medical knowledge and concerns about quality of care, have led to the birth of both the practice guideline movement 5 and evidence based medicine. 7 More recently, medical informatics and patient participation in care have matured as distinct clinical and research entities. G...

One of the key elements of improving the health care system in the world is to respect the recommendations resulting from the socalled evidence-based medicine (EBM). Improvement considering clinical decision-making in medicine, including surgery may be attained when best evidence based medicine (EBM) will be combined with the following: – clinical experience, – medical knowledge in the field of...

Background Although there is a general agreement on the benefits of evidence informed health policy development given resource constraints especially in Low-Income Countries (LICs), the definition of what evidence is, and what evidence is suitable to guide decision-making is still unclear. Our study is contributing to filling this knowledge gap. We aimed to explore health policy actors’ views r...

background the inclusion of cost-effectiveness data, as a basis for priority setting rankings, is a distinguishing feature in the formulation of the swedish national guidelines. guidelines are generated with the direct intent to influence health policy and support decisions about the efficient allocation of scarce healthcare resources. certain medical conditions may be given higher priority ran...

2 urgeons make decisions with patients about when to operate and when to recommend nonoperative are on a daily basis. We must decide when to invesigate and which investigations to order. If it is to be urgery, the decision on which operation is the best hould, ideally, be based on prospective, randomized ontrolled studies, free of bias and relevant to the linical decision. However, in many case...

Butler • Editorial M physicians are committed to providing evidence-based care that is patient-centered and responsive to the clinical circumstances and values of each individual patient. However, there is increasing pressure from payers and those who attempt to define and measure quality in medical encounters for physicians to uniformly apply clinical guidelines to patients and minimize varian...

Challenging Nature of Evidence-Based Decision Making What is the drug of choice for condition x? is among the most commonly asked questions in primary care. Reflecting the complexity of prescribing decisions, answering this question requires a difficult trade-off between the benefits and harms of multiple drugs for a given condition. The principles of evidence-based medicine suggest that prescr...

Shared decision making empowers patients as informed consumers, helping them to make clinical decisions that optimize their personal oral health. Evidence-based dentistry supports this process by providing best evidence that, when presented in visual and interactive formats, focuses consultation time on treatment or therapy options and their trade-offs. Currently, an explosion of evidence and t...