The case against ‘the evidence’: A different perspective on evidence-based medicine

Abstract

It is agreed that a degree of professional consensus is necessary. However, too great an emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care.

Développer de meilleures pratiques

“…Il ne faut pas y attendre les recettes miracles qu'il s'agirait simplement d'appliquer sans se questionner. Comme disent si bien Williams et Garner (2002) « Let us hope that the day will not come when, on seeing a patient, the doctor's first thought is to turn to the Cochrane Library ». La nature humaine est trop complexe pour se laisser saisir par le seul positivisme.…”

Innovating Medical Knowledge: Understanding Evidence-Based Medicine as a Socio-Medical Phenomenon

“…Many EBM critics point to the "experiential nature" of medical practice for being not only inextricable from but also inappropriately maligned by the evidence based approach (Tanenbaum 1993;Williams & Garner, 2002). However, supporters of EBM insist that experiential knowledge is worth minimizing because experience allows for the repetition of mistakes.…”

Using evidence to improve Psychological Therapies Services

“…Salkovskis argues that this is best conceptualised as "Empirically Grounded Clinical Interventions" which are supported by a range of evidence. Williams and Garner (2002) argue for consideration of evidence available from other sources such as naturalistic enquiry and case material that helps to understand individual clients.…”