title: The crossroads of evidence-based medicine and health policy: implications for urology.
abstract: As healthcare spending in the United States continues to rise at an unsustainable rate, recent policy decisions introduced at the national level will rely on precepts of evidence-based medicine to promote the determination, dissemination, and delivery of "best practices" or quality care while simultaneously reducing cost. We discuss the influence of evidence-based medicine on policy and, in turn, the impact of policy on the developing clinical evidence base with an eye to the potential effects of these relationships on the practice and provision of urologic care.
authors.affiliation: Department of Urology, University of California, Los Angeles, CA, USA. jshelton@mednet.ucla.edu
authors.forename: Jeremy B
authors.initials: JB
authors.lastname: Shelton
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Saigal
mesh_terms: D057186:Comparative Effectiveness Research; D019317:Evidence-Based Medicine / Q000639:trends*; D006291:Health Policy / Q000639:trends*; D006801:Humans; D017410:Practice Guidelines as Topic; D012052:Reimbursement, Incentive; D014481:United States; D014572:Urology / Q000639:trends*