Practice guidelines can have adverse implications for clinicians, especially if they are rigidly enforced by payers, managers, or malpractice courts. They can have adverse policy implications for society if they increase the costs of care, decrease equity, or divert resources from more effective health care interventions. Evidence-based medicine (EBM), Through its Agency for Healthcare Research and Quality, the federal government has established 12 evidence-based practice centers in institutions in the United States and Canada to perform and publish high-quality evidence reports.
Evidence-based medicine, like other models of care, has boundaries, and additional modernization. Specifically, the efforts that need to be done to increase the aspects of evidence-based medicine in the U.S. have to be engaged toward cultivating clinicians‚ access to evidence at the point of care; evolving better methods of describing evidence to patients in order to facilitate shared decision-making; and conducting up-to-date studies to test whether and how evidence-based medicine affects processes of care and patient outcomes. As cons of evidence-based practice, prior researches that have been earlier published to date are deficient in communicating to a system being built on a recovery philosophy and mission of providing quality care. These deficiencies should be detailed, and suggestions should be advanced for new directions and aspects in improving evidence-based practice research.
As pros of evidence-based medicine, its concept lies in evolving real strategies for interpreting clinical evidences into practical use. Its seeks to directly link clinical practice and policy decisions to supporting evidence. It is receiving increased attention in practice guidelines and public policy such as insurers’ decisions about coverage, government decisions about health care financing, and even medicolegal judgments are guided by the results of clinical trials, systematic reviews, and pronouncements in evidence-based practice guidelines.
Woolf, S. (n.d.). EVIDENCE-BASED MEDICINE AND PRACTICE GUIDELINES: AN OVERVIEW. Retrieved December 07, 2012 from http://www.moffittcancernetwork.org/ccJRoot/v7n4/pdf/dept7.pdf
