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Evidence-Based Medicine; Evidence-Based Health Care: How to Make Health Policy and Management Decisions

BMJ 1999; 318 doi: https://doi.org/10.1136/bmj.318.7177.201 (Published 16 January 1999) Cite this as: BMJ 1999;318:201
  1. Calum R Paton, professor of health policy.
  1. Centre for Health Planning and Management, Keele University

    Evidence-Based Medicine

    Lesley Grayson

    British Library, £33, pp140

    ISBN 0 712308369

    Evidence-Based Health Care: How to Make Health Policy and Management Decisions

    J A Muir Gray

    Churchill Livingstone, £16.95, pp270

    ISBN 0 443057214

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    The designation “evidence based” is becoming de rigeur in the NHS. Clearly, evidence based medicine now has the status of orthodoxy, and we also hear of evidence based health care. More ambitiously, and perhaps with some naivety, there is also talk of evidence based management and evidence based policy.

    The broad agenda espoused in the government's white paper The New NHS stresses quality and excellence as well as accountability for activity and money. Clinical governance, for example, is not just about professional performance (technical quality) but also about the accountability within (and of) the whole organisation for improved quality.

    Clearly, one perspective of evidence based medicine is as a means of basing decisions on research evidence. Grayson's Evidence-Based Medicine is …

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