Reviews Book

Knowledge to Action? Evidence-Based Health Care in Context

BMJ 2006; 332 doi: (Published 23 February 2006) Cite this as: BMJ 2006;332:495
  1. Matt Williams, specialist registrar in clinicaloncology (
  1. London

    M ost of us are familiar with the idea of evidence based medicine (EBM), and the resulting slew of guidelines and care pathways that has become its unavoidable spouse. The unhappy marriage of the high minded ambitions of EBM and the bloated, lifeless prose of protocols does more than offend our literary sensibilities; it points to a harder problem in trying to implement the evidence in EBM. At root, this is a failure to grasp that just as there is evidence in EBM, there must also be evidence about EBM and its applications.

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