Bringing together values-based and evidence-based medicine: UK Department of Health Initiatives in the 'Personalization' of Care.
BACKGROUND
Person-centred medicine depends on combining best research evidence with the unique values (including the preferences, concerns, needs and wishes) of individual patients and their families.


OBJECTIVE
The paper gives a brief introduction to values-based practice as a new approach to incorporating patients' values into clinical decision making alongside best research evidence as derived from evidence-based practice.


METHODS
The role of values-based practice as a partner to evidence-based practice is illustrated through a series of policy, training and service development initiatives in mental health from the UK Department of Health in London.


RESULTS
These initiatives have supported person-centred developments in key areas of mental health practice including, (1) the use of involuntary treatment; and (2) a shared approach of assessment. Early moves are underway to extend values-based practice to other areas of health care beyond mental health.


CONCLUSIONS
Values-based practice offers a new approach to incorporating patients' unique values into clinical decision making that is complementary to evidence-based practice as a resource for person-centred medicine.
St Cross College, University of Oxford, and Emeritus Professor of Philosophy and Mental Health, University of Warwick, Coventry, UK. kwm.fulford@philosophy.ox.ac.uk
K W M Bill
KW
Fulford
D019317:Evidence-Based Medicine; D006077:Government Agencies; D006291:Health Policy; D006801:Humans; D007318:Inservice Training; D008131:London; D008605:Mental Health Services; D057240:Patient Preference; D018802:Patient-Centered Care; D011050:Policy Making; D011785:Quality Assurance, Health Care