How evidence-based medicine is failing due to biased trials and selective publication.

Journal article

Evidence-based medicine (EBM) was announced in the early 1990s as a 'new paradigm' for improving patient care. Yet there is currently little evidence that EBM has achieved its aim. Since its introduction, health care costs have increased while there remains a lack of high-quality evidence suggesting EBM has resulted in substantial population-level health gains. In this paper we suggest that EBM's potential for improving patients' health care has been thwarted by bias in the choice of hypothes...

Expand abstract

Authors: Every-Palmer, S; Howick, J

• Journal: Journal of evaluation in clinical practice
• Pages: n/a-n/a
• Publication date: 2014-05-01
• DOI: 10.1111/jep.12147
• EISSN: 1365-2753
• ISSN: 1356-1294
• Language: English
• Keywords: mental health; health services research; evaluation; evidence-based medicine; philosophy