Evidence-based medicine and the implementation gap

S Dopson, L Locock, J Gabbay, E Ferlie, L Fitzgerald

Research output: Contribution to journalArticle

89 Citations (Scopus)

Abstract

Evidence-based medicine was one of the earliest manifestations of evidence-based policy and practice, and has exercised substantial influence on other policy areas. Based on data from seven empirical studies carried out between 1993 and 1999, this article examines the origins and impact of EBM, and the complexities of implementation which have emerged. Policy makers and EBM enthusiasts alike have frequently taken a somewhat simplistic view of the implementation gap they seek to address. Understanding clinicians' mixed reactions to the rhetoric of EBM helps explain both why EBM has had as much impact as it has, and why it has sometimes been resisted and rejected. Although other areas of public policy can learn from the experience of EBM, there are distinctive features of health care which set it apart, notably the continued autonomy and dominance of the medical profession and the strong influence of the biomedical science model on what is considered legitimate evidence.
Original languageEnglish
Pages (from-to)311-330
Number of pages20
JournalHealth (London, England : 1997)
Volume7
DOIs
Publication statusPublished - 1 Jul 2003

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Evidence-Based Medicine
medicine
Evidence-Based Practice
Public Policy
Administrative Personnel
evidence
policy area
Delivery of Health Care
rhetoric
public policy
autonomy
profession
health care
science
experience

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Evidence-based medicine and the implementation gap. / Dopson, S; Locock, L; Gabbay, J; Ferlie, E; Fitzgerald, L.

In: Health (London, England : 1997), Vol. 7, 01.07.2003, p. 311-330.

Research output: Contribution to journalArticle

Dopson, S ; Locock, L ; Gabbay, J ; Ferlie, E ; Fitzgerald, L. / Evidence-based medicine and the implementation gap. In: Health (London, England : 1997). 2003 ; Vol. 7. pp. 311-330.
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