Surely EBM is not meant to be a certainty, rather EBM is likely to be best
way we know to combine methods which are most likely to reduce bias, with
clinical judgement, patient preference etc? (or maybe that's not what your
question means?)
If you want papers, articles that try to sell EBP / persuade people this is
a good thing, they are coming out of my ears at the moment- can send you
some.
Most of the ones I can think of (see refs below) look at non-medical
fields - apart from Chalmers which talks about both health and social care.
I guess many social scientists start from the standpoint that as consumers
(rather than practitioners) they wouldn't want their medicine based on
anything else! However, they have a much harder job persuading their social
care practitioner and academic colleagues that EBP is good for non medical
interventions too- and this is what these articles attempt to do.
Hope this will be useful, as many of the issues are very similar across
professions - & probably good for us all to read across disciplines.
e.g. Chalmers, I, (2003). Trying to do more good than harm in policy and
practice: the role of rigorous, transparent, up-to-date evaluations. Annals
of the American Academy of Political and Social Sciences, 589, Sept 2003,
22-40.
Gibbs, L. & Gambrill, E. (2002). Evidence-based practice: Counterarguments
to objections. Research on Social Work Practice, 12, 452-476
McCord,J. (2003) "Cures that Harm: Unanticipated Outcomes of Crime
Prevention Programs." Annals of the American Academy of Political and
Social Sciences, 587, May, 16-30
http://astro.temple.edu/~mccord/CuresThatHarm2003.pdf
best wishes,
Dr Frances Gardner
University Lecturer in Evidence-Based Social Work
Honorary Clinical Psychologist
Department of Social Policy and Social Work
University of Oxford, 32 Wellington Sq, Oxford OX1 2ER, UK
tel 44 [0] 1865 270334/ 270325
fax 44 [0] 1865 270324
e-mail: [log in to unmask]
web: www.apsoc.ox.ac.uk
----- Original Message -----
From: "Smith Andrew" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, October 20, 2003 1:12 PM
Subject: EBM as a certainty
> Hi
>
> Does anyone have any examples of text from librarians, clinicians,
> policymakers etc, which 'sells' EBM as a certainty (leaving aside all the
> messy methodological issues which people involved in producing systematic
> reviews and assessing evidence have to deal with all the time?)
>
> Best wishes
>
> Andy
>
> Dr Andrew Smith
> Consultant Anaesthetist
> Royal Lancaster Infirmary
> Ashton Road
> Lancaster
> LA1 4RP
> tel +44 1524 583517
> fax +44 1524 583519
> email [log in to unmask]
>
>
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