Quality cannot always be quantified

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.6999.258a (Published 22 July 1995) Cite this as: BMJ 1995;311:258
  1. Blair H Smith
  1. Lecturer in general practice Department of General Practice, University of Aberdeen, Foresterhill Health Centre, Aberdeen AB9 2AY

    EDITOR,--William Rosenberg and Anna Donald examine some of the disadvantages of evidence based medicine but, for each “threat,” argue that an overall “opportunity” to improve existing practice ensues (with the implication that the debate is more polarised than perhaps it is).1 One important disadvantage is not addressed, though it is encapsulated in another context earlier in the article where the effectiveness of evidence based medicine is considered: “the approach is difficult to evaluate … since many [outcomes] are difficult to …

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