BMJ 1994;309:217-218 (23 July)
Editorials
Towards a knowledge based health service
Few decisions made in health services are made with good evidence.1 This applies particularly to decisions on how health services are structured and managed but is also true of decisions made every day by doctors and nurses.2 The failure stems from those who work in health services being unaware of evidence that is available, from the evidence being disorganised and inaccessible,3 and from the evidence simply not existing. The ambitious mission of the NHS research and development programme is to create a national health service in which decisions are based on evidence,4 and the publication last week of the report of standing group on health technology was an important step in that direction.5
The failure of research to feed through into practice is currently a hot topic,6,7 and the old model of how doctors were supposed to incorporate the latest research into their practice has had only limited success. The . . . [Full text of this article]

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Towards a knowledge based health service May lead to more red tape
- B G Charlton, K Perrett, P Silcocks, R A Dixon, and J Munro
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