Dear Jena,
I completely agree with you. EBP is a broader term that embraces all health professions. EBH (as in the name of our community: EVIDENCE-BASED-HEALTH) is broader still, presumably embracing decisions made by individual citizens in the absence of a healthcare
consultation, and also embracing decisions made by policymakers and others).
I think the term Evidence-Informed Practice is more appropriate and more useful than Evidence-Based Practice in the context of healthcare delivery.
To define Evidence-Informed Practice, I think Sackett's 1996 definition of EBM is a useful starting point, but is not sufficient.
Evidence-Informed Practice is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical
evidence from systematic research." (Sackett D, 1996). When we talk about "current best evidence", we mean the cumulative evidence that exists that is relevant to the decision that is being made. Thus, to base practice on a single research study, without taking
into account the results of other relevant studies, is *not* evidence-informed practice. To base practice on a systematic review of the totality of evidence relevant to the decision that is being made *is* evidence-based practice. There are many caveats. Fully
evidence-informed practice is an ideal that is not always achievable in practice, for many possible reasons. Thus, if a practitioner does not have access to a relevant systematic review (or if such a review does not exist), then s/he is unable to practice
EIP in full.
The term Evidence-Informed Pratice is generally more accepted, because it recognises that evidence is not everything. The practice of EIP requires the triad of (1) cumulative evidence, (2) clinical judgement, and (3) informed patient choice. If any of these
three are not present, the patient is at high risk of receiving substandard health care.
(Apologies for repetition)
best wishes,
Neil
At 11:43 12/04/2012, Ogston, Jena wrote:
Neil-
It was my understanding that EBM referred to the practice of medicine, while EBP refers to a particular health care practice. I teach EBP in Physical Therapy. My apologies I do not have a resource for you at the moment.
On Thu, Apr 12, 2012 at 2:56 AM, Neil Pakenham-Walsh, UK < [log in to unmask]> wrote:
- Thanks David and all,
- Has anyone collated the definitions of EBM and/or EBP? Is there a consensus definition?
- Many (most) of the definitions that I have seen talk about 'available evidence' but do not make it clear that this means 'all available evidence'. In my understanding, EBP is fundamentally about cumulation of evidence (usually in the form of systematic
reviews). I hear, very often, health professionals, researchers and others worldwide apply erroneously the term EBP to include practice that is supported by a single research study that the practitioner has identified.
- Best wishes,
- Neil
- At 20:03 11/04/2012, you wrote:
- Content-Type: TEXT/PLAIN; charset=UTF-8; format=flowed
- X-MIME-Autoconverted: from 8bit to quoted-printable by
bofur.jiscmail.ac.uk id q3BJ3tmP011335
- This is what the Scout Report finds for the phrase Evidence Based Medicine
- http://scout.wisc.edu/Archives/SPT--AdvancedSearch.php?Q=
- Y&FK=Evidence-Based+Medicine&RP=10&SR=0&ST=Quick
- .
- A shorter URL for the above link:
- .
- http://tinyurl.com/7ow97sf
- .
- .
- This is what Intute finds for Evidence Based Medicine
- http://www.intute.ac.uk/cgi-bin/advancedsearch.pl?field=
- All&term1=evidence+based+medicine&Search=Search&limit=
- 0&subject=All&coo=Any&rank=score&fielddisplay=All
- .
- A shorter URL for the above link:
- .
- http://tinyurl.com/cgdcna4
- .
- .
- This is what Pogofrog finds for the phrase Evidence Based Medicine
- http://www.pogofrog.com/results?cx=015250969076115358911%
- 3A_ctwnwkmr5m&cof=FORID%3A9&q=%22evidence+based+medicine%
- 22&as_qdr=all&sa=Search
- .
- A shorter URL for the above link:
- .
- http://tinyurl.com/84c8gse
- .
- .
- This is what the Open Directory Project finds for the phrase Evidence Based Medicine
- http://www.dmoz.org/search?q=%22evidence+based+medicine%22
- .
- .
- This is what Net-Gold has for the phrase Evidence Based Medicine
- http://www.google.com/search?q=allintitle%3A%20globalization&hl=
- en&sa=N&tab=sw#q=%22evidence+based+medicine%22+AND+%22net-gold%
- 22+AND+%22temple.edu %22&hl=en&prmd=imvns&filter=0&bav=
- on.2,or.r_gc.r_pw.r_qf.,cf.osb&fp=193b680415c1a72a&biw=1280&bih=827
- .
- A shorter URL for the above link:
- .
- http://tinyurl.com/cn6mcql
- .
- .
- Also of possible interest:
- PERIODICALS DIRECTORIES :
- PERIODICALS: DISCUSSION GROUPS :
- DIRECTORIES: PUBLISHING PUBLICATION PUBLISHER BOOK PERIODICAL:
- NewJour: A New Journals and Newsletters Available on the Internet
- http://groups.yahoo.com/group/Net-Gold/message/38220
- .
- .
- Sincerely,
- David Dillard
- Temple University
- (215) 204 - 4584
- [log in to unmask]
- http://workface.com/e/daviddillard
- Net-Gold
- http://groups.yahoo.com/group/net-gold
- http://listserv.temple.edu/archives/net-gold.html
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- http://guides.temple.edu/content.php?pid=22756&sid=2223487
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- http://healthrecsport.jiglu.com/
- http://listserv.temple.edu/archives/health-recreation-sports-tourism.html
- On Wed, 11 Apr 2012, Ben Goldacre wrote:
- i love thennt.com
- Dr Ben Goldacre
- Wellcome Research Fellow in Epidemiology
- London School of Hygiene and Tropical Medicine
- Keppel St, London WC1E 7HT
- [log in to unmask]
- On Wed, Apr 11, 2012 at 5:50 AM, Olive Goddard < [log in to unmask]> wrote:
- Hi,
- Â
- The Centre for Evidence-Based Medicine is always happy to link to useful and relevant websites, but we realise that we have not updated these for some time.
- Â
- If you could send me the URLs of appropriate websites I should be most grateful.
- Â
- All good wishes,
- Â
- Olive
- Â
- Olive Goddard
- Centre for Evidence-Based Medicine
- Department of Primary Health Care
- 23 - 38 Hythe Bridge Street
- Oxford OX1 2ET
- Tel +44(0)1865 289337
- Fax +44(0)1865289336
- [log in to unmask]
- www.cebm.net
- cid:d43bf047-6fd2-427e-bafe-d858f95c76b6
- Â