Evidence-based psychiatric practice: doctrine or trap?

Evidence-based psychiatric practice: doctrine or trap?

Medical practice has rapidly shifted towards an ‘evidence‐based’ approach. While there are acknowledged clear benefits to this, a number of pitfalls are frequently not appreciated. Perhaps the most important limitation is the extent to which the current body of data is inadequate for many common cli...

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Veröffentlicht in:Journal of evaluation in clinical practice 1999-05, Vol.5 (2), p.149-152
Hauptverfasser: Berk, Michael, Mmed(psych), ., Ff(psych)sa, ., Janet, Miles Leigh
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Sprache:eng
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clinical practice
Evidence-Based Medicine
Humans
Psychiatry
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container_end_page 152
container_issue 2
container_start_page 149
container_title Journal of evaluation in clinical practice
container_volume 5
creator Berk, Michael
Mmed(psych), .
Ff(psych)sa, .
Janet, Miles Leigh
Mmed(psych), .
description Medical practice has rapidly shifted towards an ‘evidence‐based’ approach. While there are acknowledged clear benefits to this, a number of pitfalls are frequently not appreciated. Perhaps the most important limitation is the extent to which the current body of data is inadequate for many common clinical decisions. Algorithms risk being developed, frequently by third parties, without acknowledgement of these limitations and with substantial implications for clinical independence and the quality of patient care. This paper discusses potential problems of the evidence‐based approach and suggests possible guidelines for the management of clinical decisions given the limitations of data‐based guidelines.
doi_str_mv 10.1046/j.1365-2753.1999.00180.x
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subjects clinical practice
Evidence-Based Medicine
Humans
Psychiatry
title Evidence-based psychiatric practice: doctrine or trap?
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