ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

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Evidence Based Medicine: Making It Better

Evidence Based Medicine began as a "bottom-up" paradigm that taught medical residents to search the literature for the best available evidence and to critically appraise it for making patient care decisions. As its popularity increased, there evolved a huge market for ready-made EBM summaries and reviews and there is now a scramble to provide this service. Those who provide the service come to wield tremendous influence and power. This article describes the evolution of this important tool and the pitfalls in how it is practised. People in the healthcare field need to understand all these aspects of EBM if they are to exploit its potential for public health.

april 2, 2011 vol xlvi no 14 E vidence Based Medicine (EBM) is a buzzword today – it is used in the wider society outside of its originally narrow technical context, often pretentiously and inappropriately to impress and to make discourse appear esoteric, and technically sound. EBM has an enchanting image that reaches out to r esearchers and scholars (Holmes et al 2006). Also it has a ring of scientic a uthority that mesmerises decision-makers and government ofcials. Health planners value and purchasers and payers feel reassured by such authorisation. This article looks at the evolution of EBM and describes the pitfalls in how it is practised. People in the healthcare eld need to understand all these aspects of EBM if they are to exploit its potential for public health.

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