Thursday, August 28, 2014

Evidence-Based Medicine Actually Isn’t

In medical practice, the concept of evidence shares a lot with Saint Augustine’s understanding of time. He understood time perfectly well, of course, until somebody asked him to explain it. Medical evidence is similar. Everybody thinks they know what evidence means, but defining what counts as evidence is about as easy as negotiating peace in the Middle East. As a result, demands for “evidence-based medicine” pose some serious practical problems. In fact, the label “evidence based” applied to medicine has been confused, abused and misused so much lately that some experts suggest that the evidence-based medicine movement is in a state of crisis. more

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