The crossroads of evidence-based medicine and health policy: implications for urology

Abstract

As healthcare spending in the United States continues to rise at an unsustainable rate, recent policy decisions introduced at the national level will rely on precepts of evidence-based medicine to promote the determination, dissemination, and delivery of “best practices” or quality care while simultaneously reducing cost. We discuss the influence of evidence-based medicine on policy and, in turn, the impact of policy on the developing clinical evidence base with an eye to the potential effects of these relationships on the practice and provision of urologic care.

Knowledge, practices and attitudes of physicians towards evidencebased medicine in Egypt

“…Evidence-based medicine (EBM) as a new paradigm for medical practice involves integrating the best available external clinical evidence with individual clinical expertise and use of individual patient's rights and preferences in clinical decision-making. Thus, the ability to critically appraise literature and assess its applicability is identified as integral to the practice of EBM (1). Evidence-based practice is the process of care for the patient, which takes into account his or her preferences and actions, the clinical resources available, and current and applicable scientific evidence, under the clinical expertise and training of the health-care provider (2).…”

Assessment of Knowledge, Attitude and Barriers to Practice Regarding Evidence Based Medicine among Doctors in National Liver Institute, Menoufia University, Egypt

“…Evidence-based medicine has been defined as "the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients" as reported by Dr. David Sackett (1) . Lately, EBM was defined as "The integration of the best available research evidence with clinical expertise and patient values" (2) .…”