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Doctors hear about “minimally disruptive medicine” and the medical uses of YouTube

BMJ 2010; 341 doi: https://doi.org/10.1136/bmj.c6271 (Published 04 November 2010) Cite this as: BMJ 2010;341:c6271
  1. Nigel Hawkes
  1. 1London

When Sharon Straus, co-chair of Knowledge Translation Canada, made a presentation to a group of bankers and businessmen, they were bewildered. She explained that well established medical evidence, backed by double blind trials and systematic reviews, was often ignored by doctors.

“You say there’s evidence and these doctors aren’t using it?” asked one of those present. “Why don’t you just fire them?”

Professor Straus was speaking on the second day of Evidence 2010, an international conference at BMA House devoted to understanding why medical practice so often deviates from medical evidence, and what might be done to narrow the gap.

Victor Montori from the Mayo Clinic in Rochester, Minnesota, set the scene by quoting a figure of $290bn (£181.4bn; €208bn), the money estimated by the New England Healthcare Institute to go to waste in the US healthcare system every year as a result of patients not taking medicines as prescribed.

“Only half of clinicians prescribe the right drugs, and half the patients who are prescribed them stop taking them,” he said. …

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