Letters Crisis in evidence based medicine

Evidence based medicine: looking forward and building on what we have learnt

BMJ 2014; 349 doi: http://dx.doi.org/10.1136/bmj.g4508 (Published 09 July 2014) Cite this as: BMJ 2014;349:g4508
  1. David Tovey, editor in chief1,
  2. Rachel Churchill, reader in psychiatric epidemiology, Cochrane DAN coordinating editor2,
  3. Lisa Bero, professor of clinical pharmacy and health policy and co-chair, Cochrane3
  1. 1Cochrane, London W1G 0AN, UK
  2. 2Centre for Academic Mental Health, School of Social and Community Medicine, University of Bristol, Bristol BS9 1NQ, UK
  3. 3University of California, San Francisco, San Francisco, CA 94118, USA
  1. dtovey{at}cochrane.org

Greenhalgh and colleagues’ commentary on the state of evidence informed healthcare is timely.1 However, labelling this as a “crisis” and the plea for a “return” to a mythical golden past are misguided.

The solution does not involve looking backwards, and headings such as “Return to real evidence based medicine” are unhelpful. The world has moved on. Evidence is continually evolving to reflect the needs …

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