The promises and pitfalls of evidence-based medicine. Export

@article{citeulike:405088, abstract = {Evidence-based medicine (EBM) aims to address the persistent problem of clinical practice variation with the help of various tools, including standardized practice guidelines. While advocates welcome the stronger scientific foundation of such guidelines, critics fear that they will lead to "cookbook medicine." Studies show, however, that few guidelines lead to consistent changes in provider behavior. The hopes, fears, and mixed record of EBM are rooted in the traditional professional perspective of the clinician as sole decisionmaker. Multifaceted implementation strategies that take the collaborative nature of medical work into consideration promise more effective changes in clinical practice.}, address = {Brandeis University, Waltham, Massachusetts, USA. Timmermans@brandeis.edu}, author = {Timmermans, Stefan and Mauck, Aaron}, citeulike-article-id = {405088}, citeulike-linkout-0 = {http://dx.doi.org/10.1377/hlthaff.24.1.18}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/15647212}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=15647212}, doi = {10.1377/hlthaff.24.1.18}, issn = {0278-2715}, journal = {Health affairs (Project Hope)}, keywords = {ebm, evidence}, number = {1}, pages = {18--28}, posted-at = {2007-05-14 15:29:46}, priority = {2}, title = {The promises and pitfalls of evidence-based medicine.}, url = {http://dx.doi.org/10.1377/hlthaff.24.1.18}, volume = {24}, year = {2005} }

TY - JOUR ID - citeulike:405088 L3 - citeulike-article-id:405088 N2 - Evidence-based medicine (EBM) aims to address the persistent problem of clinical practice variation with the help of various tools, including standardized practice guidelines. While advocates welcome the stronger scientific foundation of such guidelines, critics fear that they will lead to "cookbook medicine." Studies show, however, that few guidelines lead to consistent changes in provider behavior. The hopes, fears, and mixed record of EBM are rooted in the traditional professional perspective of the clinician as sole decisionmaker. Multifaceted implementation strategies that take the collaborative nature of medical work into consideration promise more effective changes in clinical practice. IS - 1 JF - Health affairs (Project Hope) SN - 0278-2715 AD - Brandeis University, Waltham, Massachusetts, USA. Timmermans@brandeis.edu EP - 28 TI - The promises and pitfalls of evidence-based medicine. VL - 24 SP - 18 KW - ebm KW - evidence AU - Timmermans, Stefan AU - Mauck, Aaron PY - 2005///b UR - http://dx.doi.org/10.1377/hlthaff.24.1.18 ER -