Evidence-based medicine: a commentary on common criticisms.
Discussions about evidence-based medicine engender both negative and positive reactions from clinicians and academics. Ways to achieve evidence-based practice are reviewed here and the most common criticisms described. The latter can be classified as "limitations universal to the practice of medicine," "limitations unique to evidence-based medicine" and "misperceptions of evidence-based medicine." Potential solutions to the true limitations of evidence-based medicine are discussed and areas for future work highlighted.
Straus
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Division of General Internal Medicine, Mount Sinai Hospital, Toronto, Ont.
McAlister
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D016206:Databases, Bibliographic; D019317:Evidence-Based Medicine; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D011787:Quality of Health Care; D012106:Research; D013997:Time Factors