Wednesday, October 12, 2011

From JAMA: Tension between evidence-based medicine and health advocacy groups

http://www.ncbi.nlm.nih.gov/pubmed/21972305

JAMA. 2011 Oct 5;306(13):1443-4; author reply 1444-5.
Evidence-based practice and health advocacy organizations.
Johnson LB, Warren BE.

Comment on: JAMA. 2011 Jun 22;305(24):2569-70.

"Both population-based recommendations and individualized decision making can play a role in evidence-based health care, depending on whether the science is uncertain or involves trade-offs contingent on patient values and preferences. Preserving patient choice within the context of evidence-based decision aids improves patient adherence and health outcomes and reduces rates of invasive elective surgery and the use of menopausal hormones and prostate-specific antigen screenings. Whereas many medical professionals are wary of consumers, many consumers distrust EBM and believe it is vulnerable to corruption by stakeholders seeking to control costs and take away personal choice and individualized care."

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