Evidence-based psychiatric practice: doctrine or trap?

Authors: Berk, Michael; Mmedpsych¹; Ffpsychsa²; Janet, Miles Leigh

Source: Journal of Evaluation in Clinical Practice, Volume 5, Number 2, May 1999 , pp. 149-152(4)

Buy & download fulltext article:

Price: $48.00 plus tax (Refund Policy)

Abstract:

Medical practice has rapidly shifted towards an `evidence-based' approach. While there are acknowledged clear benefits to this, a number of pitfalls are frequently not appreciated. Perhaps the most important limitation is the extent to which the current body of data is inadequate for many common clinical decisions. Algorithms risk being developed, frequently by third parties, without acknowledgement of these limitations and with substantial implications for clinical independence and the quality of patient care. This paper discusses potential problems of the evidence-based approach and suggests possible guidelines for the management of clinical decisions given the limitations of data-based guidelines.

Keywords: evidence-based medicine; psychiatry; clinical practice

Document Type: Research article

DOI: http://dx.doi.org/10.1046/j.1365-2753.1999.00180.x

Affiliations: 1: Sandton Clinic, Johannesburg, South Africa 2: Associate Professor, Wits Medical School, 7 York Road, Parktown, Johannesburg 2193, South Africa,

Publication date: 1999-05-01