Beyond EBM

Thesis

Introduction

The evidence-based medicine (EBM) movement has claimed to have induced and improved the production of trustworthy clinical guidelines. However, ethnographic research showed that clinicians rarely use explicit evidence from guidelines directly. Instead they draw heavily on socially shared knowledge and patterns of behaviour, called ‘mindlines’. To understand how EBM reaches its limits in producing meaningful guidance and finding what may lie beyond, this thesis explor...

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Authors: Wieringa, S

• Alternative title: A thesis on the fundamentals of clinical knowledge creation
• Type of award: DPhil
• Level of award: Doctoral
• Awarding institution: University of Oxford
• Language: English