Dear SamiaThis bring us to a very important question in this fieldIs Evidence-Based Medicine Patient-Centered and Is Patient-Centered Care Evidence-Based?And how to present EBM in our practice were we face a challenge of Health LiteracyHassan
Dr.Hassan Al BalushiDear Jon:
This is the dilemma between what EBHC provides for us as GPs (usually from clinical trials) and patients' experience of any intervention (usually dugs). I believe patients preference and actual improvements on certain drug would over-ride what EBHC provides, unless there is a probability of harm, which patients might not be aware of at the present time. Additionally, if patients are well informed of the the evidence and different choices with different level of evidence, then the choice is in their hands,
SamiaDr. Samia Alhabib, MD, PhD