Evidence-based health care

doi:10.1136/bmj.314.7080.615a

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Liam J Donaldson, professor of applied epidemiology

University of Newcastle upon Tyne

J A Muir Gray Churchill Livingstone, £16.95, pp 270 ISBN 0 443 05721 4

Chekhov once observed that a good writer helps us to feel not just life as it is, but life as it should be. The movement for evidence based medicine offers something similar- enlightenment coupled with views of a promised land. While the conflict between these two states-as it is, and as it should be-is the vehicle for many successful works of art, its force in scientific revolutions is often more divisive. Thus, while evidence based medicine has a large groundswell of support within the profession, it also has …