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The Process of Evidence-based Medicine and Search for Meaning

Biswas, Rakesh and Umakanth, Shashikiran and Hande, Manjunath H (2007) The Process of Evidence-based Medicine and Search for Meaning. Journal of Evaluation in Clinical Practice, 13. pp. 529-532. ISSN 1356-1294

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Abstract

Background and Rationale Evidence based medicine is the present backbone of rational and objective, modern medical problem solving and is a meeting ground for quantitative and qualitative researchers alike as it culminates into applying the fruits of clinical research to the individual patient.A systematic enquiry into the evolving paradigms in EBM is a need of the hour.Aims and methods A qualitative enquiry examining the impact of different methodologies in EBM and their role in generating meaning interpretable at individual levels.Results Present day outcome based research deals less with patients as individuals than as populations. Evidence based medicine struggles to apply the fruits of population based research to individuals who are often not as predictable as linear quantitative research would like them to be. The present EBM literature neglects a lot of events it doesn’t believe to be statistically significant and perhaps here is an area that needs to be improved on – it assumes that because associations are demonstrated between interventions and outcomes in RCTs/meta-analysis, these associations are linear and causal in the real world. While they may be demonstrated repeatedly in highly controlled environments, in the real ‘uncontrolled’ world of clinical practice with real people, their validity breaks down.Conclusions One needs to make the EBM standard model patient-individual (a projection of collective patient event data) resemble the real human individual patient so that optimal EBM individual data that matches our query can be easily and quickly spotted from the dense jungle of information that has grown over the years. This hints at rethinking our entire research methodology and modifying it to suit the needs of the individual patient.

Item Type: Article
Uncontrolled Keywords: Evidence-based medicine; Future; Individual; Meaning; Medical problem solving; Process
Subjects: Medicine > MMMC Maleka
Medicine > KMC Manipal > Medicine
Depositing User: KMC Manipal
Date Deposited: 25 Jul 2015 06:35
Last Modified: 25 Jul 2015 06:35
URI: http://eprints.manipal.edu/id/eprint/143505

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