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Jump to navigation Jump to search «Science-based medicine» redirects here. For the website, see Science-Based Medicine. Whether applied to medical education, decisions about individuals, guidelines and policies applied to populations, or administration of health services in general, evidence-based medicine advocates that to the greatest extent possible, decisions and policies should be based on evidence, not just the beliefs of practitioners, experts, or administrators. In its broadest form, evidence-based medicine is the application of the scientific method into healthcare decision-making. Medicine has a long tradition of both basic and clinical summary conclusion and recommendation of a research paper that dates back at least to Avicenna. However, until recently, the process by which research results were incorporated in medical decisions was highly subjective.
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Beginning in the late 1960s, several flaws became apparent in the traditional approach to medical decision-making. Alvan Feinstein’s publication of Clinical Judgment in 1967 focused attention on the role of clinical reasoning and identified biases that can affect it. The term «evidence-based medicine», as it is currently used, has two main tributaries. Chronologically, the first is the insistence on explicit evaluation of evidence of effectiveness when issuing clinical practice guidelines and other population-level policies. The second is the introduction of epidemiological methods into medical education and individual patient-level decision-making.
The term «evidence-based» was first used by David M. Eddy in the course of his work on population-level policies such as clinical practice guidelines and insurance coverage of new technologies. He first began to use the term «evidence-based» in 1987 in workshops and a manual commissioned by the Council of Medical Specialty Societies to teach formal methods for designing clinical practice guidelines. The term «evidence-based medicine» was introduced slightly later, in the context of medical education.
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He uses a circle diacritic, which I have here put in red.
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