Cost effectiveness and equity are ignored

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7050.170b (Published 20 July 1996) Cite this as: BMJ 1996;313:170
  1. Alan Maynard
  1. Secretary Nuffield Provincial Hospitals Trust, London W1M 7RD

    EDITOR,—David L Sackett and colleagues' editorial on evidence based medicine is confused and inadequate.1 The authors argue, among other things, that “doctors practising evidence based medicine will identify and apply the most efficacious interventions to maximise the quality and quantity of life for individual patients.” (Note the use of “apply” (does the patient have no choice?) and “efficacious” rather than effective.)

    This individual medical ethic has to be traded off against the social ethic of the …

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