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Volumn 24, Issue 1, 2005, Pages 18-28

The promises and pitfalls of evidence-based medicine

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL PRACTICE; EVIDENCE BASED MEDICINE; HEALTH CARE PERSONNEL; HUMAN; PRACTICE GUIDELINE; REVIEW; TRADITIONAL MEDICINE;

EID: 12844279975     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.24.1.18     Document Type: Review
Times cited : (380)

References (54)
  • 1
    • 0030027092 scopus 로고    scopus 로고
    • Evidence-based Medicine: What It Is and What It Isn't
    • D.L. Sackett et al., "Evidence-based Medicine: What It Is and What It Isn't" (Editorial), British Medical Journal 312, no. 7023 (1996): 71-72.
    • (1996) British Medical Journal , vol.312 , Issue.7023 , pp. 71-72
    • Sackett, D.L.1
  • 5
    • 0003888259 scopus 로고
    • London: Nuffield Provincial Hospital Trust
    • A. Cochrane, Effectiveness and Efficiency: Random Reflections on Health Services (London: Nuffield Provincial Hospital Trust, 1972); Sackett et al., "Evidence-based Medicine"; and J. Wennberg, "Dealing with Medical Practice Variation: A Proposal for Action," Health Affairs 3, no. 2 (1984): 6-32.
    • (1972) Effectiveness and Efficiency: Random Reflections on Health Services
    • Cochrane, A.1
  • 6
    • 0003560841 scopus 로고    scopus 로고
    • A. Cochrane, Effectiveness and Efficiency: Random Reflections on Health Services (London: Nuffield Provincial Hospital Trust, 1972); Sackett et al., "Evidence-based Medicine"; and J. Wennberg, "Dealing with Medical Practice Variation: A Proposal for Action," Health Affairs 3, no. 2 (1984): 6-32.
    • Evidence-based Medicine
    • Sackett1
  • 7
    • 0021637530 scopus 로고
    • Dealing with Medical Practice Variation: A Proposal for Action
    • A. Cochrane, Effectiveness and Efficiency: Random Reflections on Health Services (London: Nuffield Provincial Hospital Trust, 1972); Sackett et al., "Evidence-based Medicine"; and J. Wennberg, "Dealing with Medical Practice Variation: A Proposal for Action," Health Affairs 3, no. 2 (1984): 6-32.
    • (1984) Health Affairs , vol.3 , Issue.2 , pp. 6-32
    • Wennberg, J.1
  • 8
    • 0026775637 scopus 로고
    • Evidence-based Medicine: A New Approach to Teaching the Practice of Medicine
    • Evidence-based Medicine Working Group, "Evidence-based Medicine: A New Approach to Teaching the Practice of Medicine," Journal of the American Medical Association 268, no. 17 (1992): 2420-2425.
    • (1992) Journal of the American Medical Association , vol.268 , Issue.17 , pp. 2420-2425
  • 9
    • 0032529297 scopus 로고    scopus 로고
    • Guidelines for Clinical Guidelines
    • R. Jackson and G. Feder, "Guidelines for Clinical Guidelines," British Medical Journal 317, no. 7156 (1998): 427-428; and W.W. Rosser, D. Davis, and E. Gilbart, "Assessing Guidelines for Use in Family Practice," Journal of Family Practice 50, no. 11 (2001): 969-973.
    • (1998) British Medical Journal , vol.317 , Issue.7156 , pp. 427-428
    • Jackson, R.1    Feder, G.2
  • 10
    • 0035160075 scopus 로고    scopus 로고
    • Assessing Guidelines for Use in Family Practice
    • R. Jackson and G. Feder, "Guidelines for Clinical Guidelines," British Medical Journal 317, no. 7156 (1998): 427-428; and W.W. Rosser, D. Davis, and E. Gilbart, "Assessing Guidelines for Use in Family Practice," Journal of Family Practice 50, no. 11 (2001): 969-973.
    • (2001) Journal of Family Practice , vol.50 , Issue.11 , pp. 969-973
    • Rosser, W.W.1    Davis, D.2    Gilbart, E.3
  • 11
    • 2942614925 scopus 로고    scopus 로고
    • The Problem of Evidence-based Medicine: Directions for Social Science
    • This paper is based on a sociological approach to EBM. For further reference, see E. Mykhalovskiy and L. Weir, "The Problem of Evidence-based Medicine: Directions for Social Science," Social Science and Medicine 59, no. 5 (2004): 1059-1069; and S. Timmermans and M. Berg, The Gold Standard: The Challenge of Evidence-based Medicine and Standardization in Health Care (Philadelphia: Temple University Press, 1999).
    • (2004) Social Science and Medicine , vol.59 , Issue.5 , pp. 1059-1069
    • Mykhalovskiy, E.1    Weir, L.2
  • 12
    • 2942614925 scopus 로고    scopus 로고
    • Philadelphia: Temple University Press
    • This paper is based on a sociological approach to EBM. For further reference, see E. Mykhalovskiy and L. Weir, "The Problem of Evidence-based Medicine: Directions for Social Science," Social Science and Medicine 59, no. 5 (2004): 1059-1069; and S. Timmermans and M. Berg, The Gold Standard: The Challenge of Evidence-based Medicine and Standardization in Health Care (Philadelphia: Temple University Press, 1999).
    • (1999) The Gold Standard: The Challenge of Evidence-based Medicine and Standardization in Health Care
    • Timmermans, S.1    Berg, M.2
  • 14
    • 0032696170 scopus 로고    scopus 로고
    • Attitudes of Faculty, Housestaff, and Medical Students toward Clinical Practice Guidelines
    • See, for example, O. Costantini et al., "Attitudes of Faculty, Housestaff, and Medical Students toward Clinical Practice Guidelines," Academic Medicine 74, no. 10 (1999): 1138-1143. For a more general critique, see B.G. Charlton, "Restoring the Balance: Evidence-based Medicine Put in Its Place," Journal of Evaluation in Clinical Practice 3, no. 2 (1997): 87-98.
    • (1999) Academic Medicine , vol.74 , Issue.10 , pp. 1138-1143
    • Costantini, O.1
  • 15
    • 0031111968 scopus 로고    scopus 로고
    • Restoring the Balance: Evidence-based Medicine Put in Its Place
    • See, for example, O. Costantini et al., "Attitudes of Faculty, Housestaff, and Medical Students toward Clinical Practice Guidelines," Academic Medicine 74, no. 10 (1999): 1138-1143. For a more general critique, see B.G. Charlton, "Restoring the Balance: Evidence-based Medicine Put in Its Place," Journal of Evaluation in Clinical Practice 3, no. 2 (1997): 87-98.
    • (1997) Journal of Evaluation in Clinical Practice , vol.3 , Issue.2 , pp. 87-98
    • Charlton, B.G.1
  • 17
    • 0003032392 scopus 로고    scopus 로고
    • The Medical Profession and Organizational Change: From Professional Dominance to Countervailing Power
    • ed. C. Bird, P. Conrad, and A. Fremont (Upper Saddle River, N.J.: Prentice Hall)
    • D.W Light, "The Medical Profession and Organizational Change: From Professional Dominance to Countervailing Power," in Handbook of Medical Sociology, ed. C. Bird, P. Conrad, and A. Fremont (Upper Saddle River, N.J.: Prentice Hall, 2000), 201-217.
    • (2000) Handbook of Medical Sociology , pp. 201-217
    • Light, D.W.1
  • 18
    • 0003070279 scopus 로고    scopus 로고
    • Epidemiology of Asthma
    • ed. B.E. Brenner (New York: Marcel Dekker)
    • C.A. Camargo and L.D. Richardson, "Epidemiology of Asthma," in Emergency Asthma, ed. B.E. Brenner (New York: Marcel Dekker, 1999), 59-80.
    • (1999) Emergency Asthma , pp. 59-80
    • Camargo, C.A.1    Richardson, L.D.2
  • 19
    • 0037471162 scopus 로고    scopus 로고
    • Key Clinical Activities for Quality Asthma Care
    • S. Williams et al., "Key Clinical Activities for Quality Asthma Care," Mortality and Morbidity Weekly Report 52, no. RR-6 (2003): 1-8.
    • (2003) Mortality and Morbidity Weekly Report , vol.52 , Issue.RR-6 , pp. 1-8
    • Williams, S.1
  • 20
    • 0032692789 scopus 로고    scopus 로고
    • Guidelines and Pulmonary Medicine
    • D. Hackner et al., "Guidelines and Pulmonary Medicine," Chest 116, no. 4 (1999): 1046-1062.
    • (1999) Chest , vol.116 , Issue.4 , pp. 1046-1062
    • Hackner, D.1
  • 21
    • 0034011552 scopus 로고    scopus 로고
    • Pediatricians' Attitudes, Beliefs, and Practice Regarding Clinical Practice Guidelines: A National Survey
    • G. Flores et al., "Pediatricians' Attitudes, Beliefs, and Practice Regarding Clinical Practice Guidelines: A National Survey," Pediatrics 105, no. 3, Part 1 (2000): 496-501.
    • (2000) Pediatrics , vol.105 , Issue.3 PART 1 , pp. 496-501
    • Flores, G.1
  • 22
    • 0033793266 scopus 로고    scopus 로고
    • Current Asthma Management: The Performance Gap and Economic Consequences
    • For a review with a similar conclusion, see S. Stoloff, "Current Asthma Management: The Performance Gap and Economic Consequences," American Journal of Managed Care 6, no. 17 Supp. (2000): S918-S925; and the supplement to the journal Chest (2000).
    • (2000) American Journal of Managed Care , vol.6 , Issue.17 SUPPL.
    • Stoloff, S.1
  • 23
    • 0033793266 scopus 로고    scopus 로고
    • For a review with a similar conclusion, see S. Stoloff, "Current Asthma Management: The Performance Gap and Economic Consequences," American Journal of Managed Care 6, no. 17 Supp. (2000): S918-S925; and the supplement to the journal Chest (2000).
    • (2000) Chest
  • 26
    • 0033007165 scopus 로고    scopus 로고
    • Can Small Group Education and Peer Review Improve Care for Patients with Asthma/ Chronic Obstructive Pulmonary Disease?
    • I.J. Smeele et al., "Can Small Group Education and Peer Review Improve Care for Patients with Asthma/ Chronic Obstructive Pulmonary Disease?" Quality in Health Care 8, no. 2 (1999): 92-98.
    • (1999) Quality in Health Care , vol.8 , Issue.2 , pp. 92-98
    • Smeele, I.J.1
  • 27
    • 0036880365 scopus 로고    scopus 로고
    • Evaluation of Asthma Control by Physicians and Patients: Comparison with Current Guidelines
    • L.P. Boulet et al., "Evaluation of Asthma Control by Physicians and Patients: Comparison with Current Guidelines," Canadian Respiratory Journal 9, no. 6 (2002): 417-423; M.P. Jans et al., "Improving General Practice Care of Patients with Asthma or Chronic Obstructive Pulmonary Disease," Effective Clinical Practice 3, no. 1 (2000): 16-24; and M.F. McDermott et al., "Asthma Care Practices in Chicago-Area Emergency Departments," Chest 116, no. 4, Supp. 1 (1999): 167S-173S.
    • (2002) Canadian Respiratory Journal , vol.9 , Issue.6 , pp. 417-423
    • Boulet, L.P.1
  • 28
    • 0033629197 scopus 로고    scopus 로고
    • Improving General Practice Care of Patients with Asthma or Chronic Obstructive Pulmonary Disease
    • L.P. Boulet et al., "Evaluation of Asthma Control by Physicians and Patients: Comparison with Current Guidelines," Canadian Respiratory Journal 9, no. 6 (2002): 417-423; M.P. Jans et al., "Improving General Practice Care of Patients with Asthma or Chronic Obstructive Pulmonary Disease," Effective Clinical Practice 3, no. 1 (2000): 16-24; and M.F. McDermott et al., "Asthma Care Practices in Chicago-Area Emergency Departments," Chest 116, no. 4, Supp. 1 (1999): 167S-173S.
    • (2000) Effective Clinical Practice , vol.3 , Issue.1 , pp. 16-24
    • Jans, M.P.1
  • 29
    • 0032859726 scopus 로고    scopus 로고
    • Asthma Care Practices in Chicago-Area Emergency Departments
    • L.P. Boulet et al., "Evaluation of Asthma Control by Physicians and Patients: Comparison with Current Guidelines," Canadian Respiratory Journal 9, no. 6 (2002): 417-423; M.P. Jans et al., "Improving General Practice Care of Patients with Asthma or Chronic Obstructive Pulmonary Disease," Effective Clinical Practice 3, no. 1 (2000): 16-24; and M.F. McDermott et al., "Asthma Care Practices in Chicago-Area Emergency Departments," Chest 116, no. 4, Supp. 1 (1999): 167S-173S.
    • (1999) Chest , vol.116 , Issue.4 SUPPL. 1
    • McDermott, M.F.1
  • 30
    • 0032781536 scopus 로고    scopus 로고
    • Has Asthma Medication Use in Children Become More Frequent, More Appropriate, or Both?
    • D.C. Goodman et al., "Has Asthma Medication Use in Children Become More Frequent, More Appropriate, or Both?" Pediatrics 104, no. 2, Part 1 (1999): 187-194; and K.B. Johnson et al., "Effectiveness of a Clinical Pathway for Inpatient Asthma Management," Pediatrics 106, no. 5 (2000): 1006-1011.
    • (1999) Pediatrics , vol.104 , Issue.2 PART 1 , pp. 187-194
    • Goodman, D.C.1
  • 31
    • 0033746291 scopus 로고    scopus 로고
    • Effectiveness of a Clinical Pathway for Inpatient Asthma Management
    • D.C. Goodman et al., "Has Asthma Medication Use in Children Become More Frequent, More Appropriate, or Both?" Pediatrics 104, no. 2, Part 1 (1999): 187-194; and K.B. Johnson et al., "Effectiveness of a Clinical Pathway for Inpatient Asthma Management," Pediatrics 106, no. 5 (2000): 1006-1011.
    • (2000) Pediatrics , vol.106 , Issue.5 , pp. 1006-1011
    • Johnson, K.B.1
  • 32
    • 0343081067 scopus 로고    scopus 로고
    • Clinical Practice Guidelines vs. Actual Clinical Practice: The Asthma Paradigm
    • C. Crim, "Clinical Practice Guidelines vs. Actual Clinical Practice: The Asthma Paradigm," Chest 118, no. 2 Supp. (2000): 40S-46S; and J.P. Mitchell, "Guideline Implementation in the Department of Defense," Chest 118, no. 2 Supp. (2000): 65S-69S.
    • (2000) Chest , vol.118 , Issue.2 SUPPL.
    • Crim, C.1
  • 33
    • 0033873112 scopus 로고    scopus 로고
    • Guideline Implementation in the Department of Defense
    • C. Crim, "Clinical Practice Guidelines vs. Actual Clinical Practice: The Asthma Paradigm," Chest 118, no. 2 Supp. (2000): 40S-46S; and J.P. Mitchell, "Guideline Implementation in the Department of Defense," Chest 118, no. 2 Supp. (2000): 65S-69S.
    • (2000) Chest , vol.118 , Issue.2 SUPPL.
    • Mitchell, J.P.1
  • 34
    • 0033959711 scopus 로고    scopus 로고
    • Asthma Management in Five European Countries: Doctors' Knowledge, Attitudes, and Prescribing Behaviour
    • P. Lagerlov et al., "Asthma Management in Five European Countries: Doctors' Knowledge, Attitudes, and Prescribing Behaviour," European Respiratory Journal 15, no. 1 (2000): 25-29; and M.G. Pearson, "How Can the Implementation of Guidelines Be Improved?" Chest 117, no. 2 Supp. (2000): 38S-41S.
    • (2000) European Respiratory Journal , vol.15 , Issue.1 , pp. 25-29
    • Lagerlov, P.1
  • 35
    • 0033993467 scopus 로고    scopus 로고
    • How Can the Implementation of Guidelines Be Improved?
    • P. Lagerlov et al., "Asthma Management in Five European Countries: Doctors' Knowledge, Attitudes, and Prescribing Behaviour," European Respiratory Journal 15, no. 1 (2000): 25-29; and M.G. Pearson, "How Can the Implementation of Guidelines Be Improved?" Chest 117, no. 2 Supp. (2000): 38S-41S.
    • (2000) Chest , vol.117 , Issue.2 SUPPL.
    • Pearson, M.G.1
  • 36
    • 0036843192 scopus 로고    scopus 로고
    • Clinical Autonomy, Individual and Collective: The Problem of Changing Doctors' Behaviour
    • D. Armstrong, "Clinical Autonomy, Individual and Collective: The Problem of Changing Doctors' Behaviour," Social Science and Medicine 55, no. 10 (2002): 1771-1777.
    • (2002) Social Science and Medicine , vol.55 , Issue.10 , pp. 1771-1777
    • Armstrong, D.1
  • 37
    • 0033230751 scopus 로고    scopus 로고
    • Benchmarking and Quality Improvement: The Harvard Emergency Department Quality Study
    • H.R. Burstin et al., "Benchmarking and Quality Improvement: The Harvard Emergency Department Quality Study," American Journal of Medicine 107, no. 5 (1999): 437-449.
    • (1999) American Journal of Medicine , vol.107 , Issue.5 , pp. 437-449
    • Burstin, H.R.1
  • 38
    • 0035432998 scopus 로고    scopus 로고
    • Successes and Failures in the Implementation of Evidence-based Guidelines for Clinical Practice
    • R. Grol, "Successes and Failures in the Implementation of Evidence-based Guidelines for Clinical Practice," Medical Care 39, no. 8, Supp. 2 (2001): II46-II54.
    • (2001) Medical Care , vol.39 , Issue.8 SUPPL. 2
    • Grol, R.1
  • 39
    • 0028386396 scopus 로고
    • Evaluating the Message: The Relationship between Compliance Rate and the Subject of a Practice Guideline
    • R. Grilli and J. Lomas, "Evaluating the Message: The Relationship between Compliance Rate and the Subject of a Practice Guideline," Medical Care 32, no. 3 (1994): 202-213.
    • (1994) Medical Care , vol.32 , Issue.3 , pp. 202-213
    • Grilli, R.1    Lomas, J.2
  • 40
    • 0032721879 scopus 로고    scopus 로고
    • Why Don't Physicians Follow Clinical Practice Guidelines?
    • M.D. Cabana et al., "Why Don't Physicians Follow Clinical Practice Guidelines?" Journal of the American Medical Association 282, no. 15 (1999): 1458-1465.
    • (1999) Journal of the American Medical Association , vol.282 , Issue.15 , pp. 1458-1465
    • Cabana, M.D.1
  • 42
    • 0035431486 scopus 로고    scopus 로고
    • Changing Provider Behavior: An Overview of Systematic Reviews of Interventions
    • J.M. Grimshaw et al., "Changing Provider Behavior: An Overview of Systematic Reviews of Interventions," Medical Care 39, no. 8, Supp. 2 (2001): II2-II45.
    • (2001) Medical Care , vol.39 , Issue.8 SUPPL. 2
    • Grimshaw, J.M.1
  • 43
    • 12844286336 scopus 로고    scopus 로고
    • Grimshaw et al., "Changing Provider Behavior"; and S. Weingarten, "Translating Practice Guidelines into Patient Care," Chest 118, no. 2 Supp. (2000): 4S-7S.
    • Changing Provider Behavior
    • Grimshaw1
  • 44
    • 0033875564 scopus 로고    scopus 로고
    • Translating Practice Guidelines into Patient Care
    • Grimshaw et al., "Changing Provider Behavior"; and S. Weingarten, "Translating Practice Guidelines into Patient Care," Chest 118, no. 2 Supp. (2000): 4S-7S.
    • (2000) Chest , vol.118 , Issue.2 SUPPL.
    • Weingarten, S.1
  • 45
    • 0033871089 scopus 로고    scopus 로고
    • Evidence for the Effectiveness of Techniques to Change Physician Behavior
    • WR. Smith, "Evidence for the Effectiveness of Techniques to Change Physician Behavior," Chest 118, no. 2 Supp. (2000): 8S-17S.
    • (2000) Chest , vol.118 , Issue.2 SUPPL.
    • Smith, W.R.1
  • 46
    • 0035432125 scopus 로고    scopus 로고
    • Optimal Methods for Guideline Implementation: Conclusions from Leeds Castle Meeting
    • P.A. Gross et al., "Optimal Methods for Guideline Implementation: Conclusions from Leeds Castle Meeting," Medical Care 39, no. 8, Supp. 2 (2001): II85-II92.
    • (2001) Medical Care , vol.39 , Issue.8 SUPPL. 2
    • Gross, P.A.1
  • 47
    • 0033890251 scopus 로고    scopus 로고
    • Organizational Interventions to Encourage Guideline Implementation
    • S.J. Curry, "Organizational Interventions to Encourage Guideline Implementation," Chest 118, no. 8, Supp. 2 (2000): 40S-46S; Gross et al., "Optimal Methods for Guideline Implementation"; and Mitchell, "How Can the Implementation of Guidelines Be Improved?"
    • (2000) Chest , vol.118 , Issue.8 SUPPL. 2
    • Curry, S.J.1
  • 48
    • 0033890251 scopus 로고    scopus 로고
    • S.J. Curry, "Organizational Interventions to Encourage Guideline Implementation," Chest 118, no. 8, Supp. 2 (2000): 40S-46S; Gross et al., "Optimal Methods for Guideline Implementation"; and Mitchell, "How Can the Implementation of Guidelines Be Improved?"
    • Optimal Methods for Guideline Implementation
    • Gross1
  • 49
    • 0033890251 scopus 로고    scopus 로고
    • S.J. Curry, "Organizational Interventions to Encourage Guideline Implementation," Chest 118, no. 8, Supp. 2 (2000): 40S-46S; Gross et al., "Optimal Methods for Guideline Implementation"; and Mitchell, "How Can the Implementation of Guidelines Be Improved?"
    • How Can the Implementation of Guidelines Be Improved?
    • Mitchell1
  • 50
    • 0035129809 scopus 로고    scopus 로고
    • Successful Implementation of Spacer Treatment Guideline for Acute Asthma
    • C.V. Powell et al., "Successful Implementation of Spacer Treatment Guideline for Acute Asthma," Archives of Disease in Childhood 84, no. 2 (2000): 142-146.
    • (2000) Archives of Disease in Childhood , vol.84 , Issue.2 , pp. 142-146
    • Powell, C.V.1
  • 51
    • 0032920877 scopus 로고    scopus 로고
    • A Randomised Controlled Trial to Assess the Relative Benefits of Large Volume Spacers and Nebulisers to Treat Acute Asthma in Hospitals
    • A.L. Dewar et al., "A Randomised Controlled Trial to Assess the Relative Benefits of Large Volume Spacers and Nebulisers to Treat Acute Asthma in Hospitals," Archives of Disease in Childhood 80, no. 5 (1999): 421-423.
    • (1999) Archives of Disease in Childhood , vol.80 , Issue.5 , pp. 421-423
    • Dewar, A.L.1
  • 52
    • 4644371973 scopus 로고    scopus 로고
    • Gross et al., "Optimal Methods for Guideline Implementation"; and P.A. Gross et al., "Extending the Nurse Practitioner Concurrent Intervention Model to Community-acquired Pneumonia and Chronic Obstructive Pulmonary Disease," Joint Commission Journal on Quality and Safety 30, no. 7 (2004): 377-386.
    • Optimal Methods for Guideline Implementation
    • Gross1
  • 53
    • 4644371973 scopus 로고    scopus 로고
    • Extending the Nurse Practitioner Concurrent Intervention Model to Community-acquired Pneumonia and Chronic Obstructive Pulmonary Disease
    • Gross et al., "Optimal Methods for Guideline Implementation"; and P.A. Gross et al., "Extending the Nurse Practitioner Concurrent Intervention Model to Community-acquired Pneumonia and Chronic Obstructive Pulmonary Disease," Joint Commission Journal on Quality and Safety 30, no. 7 (2004): 377-386.
    • (2004) Joint Commission Journal on Quality and Safety , vol.30 , Issue.7 , pp. 377-386
    • Gross, P.A.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.