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EBM notebook |
Princess Alexandra Hospital
Brisbane, Queensland, Australia
Key Words: evidence-based medicine
| The first 150 words of the full text of this article appear below. |
Practising clinicians have to swim in an ocean of clinical research evidence that varies in rigour, consistency, and applicability to the care of individual patients. They are expected to stay up to date, be authoritative, and practice to a high standard. They work in an environment that obliges them to reconcile patient preferences and societal/professional expectations with the need for cost restraint and accountability for quality and safety of care.
Numerous reports of variations in practice patterns1 and substandard care2 have placed increased pressure on clinicians, healthcare institutions, and professional organisations to improve their ability to provide optimal care. This is essential for the continuation of public trust and funding from public and private payers. While standards of care may not be definable in the absence of definitive evidence, the fact that clinical practice in many instances appears to be at odds with even clear-cut research evidence has become of
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