Evidence-based medicine beyond the bedside: Keeping an eye on context

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Rationale: Evidence-based medicine is being applied to decisions in a range of contexts beyond one-to-one patient care. Yet considerable disagreement persists regarding the defining components of evidence-based decision-making, particularly in institutional and public health contexts. Aims and Objectives: This article reviews the key elements of evidence-based decision-making for clinical medicine, and adapts those key elements and argues for their broad applicability to a variety of decision-making contexts including institutional, public health, and self-care decision-making contexts. Methods: Conceptual Analysis. Results: Evidence based decision-making involves research evidence, "social and institutional circumstances", and "values" of stakeholders. Furthermore, evidence-based decision-making includes "judgment" exercised by experts to appropriately weigh and integrate the various decision-making elements. Conclusion: Asking critical questions about the purposes and context of a specific decision, basic principles of evidence-based reasoning can be appropriately applied beyond the bedside.

Original languageEnglish (US)
Pages (from-to)721-725
Number of pages5
JournalJournal of Evaluation in Clinical Practice
Volume14
Issue number5
DOIs
StatePublished - Oct 2008

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Evidence-Based Medicine
Decision Making
Public Health
Clinical Medicine
Self Care
Patient Care
Delivery of Health Care
Research

Keywords

  • Decision making
  • Evidence-based medicine
  • Health policy
  • Preferences

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy

Cite this

Evidence-based medicine beyond the bedside : Keeping an eye on context. / Tilburt, Jon C.

In: Journal of Evaluation in Clinical Practice, Vol. 14, No. 5, 10.2008, p. 721-725.

Research output: Contribution to journalArticle

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