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November 3, 1988New England Journal of Medicine

Effectiveness in Health Care

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Design

Editorial

Authors

WRWilliam L. RoperWWWilliam WinkenwerderGHGlenn Hackbarth

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Overview

Prompts clinician scrutiny of variable practices; leaves open how methodological improvements will standardize evidence-based care.

Key Points

  • To examine the evidentiary basis of common medical practices and evaluate how research flaws and physician interpretation skills drive clinical practice variations.
  • Assessed the methodological rigor and evidentiary validity supporting current and emerging medical interventions.
  • Evaluated physician competency in interpreting scientific literature, applying theoretical assumptions, and utilizing probabilistic clinical data.
  • Evidence establishing the effectiveness of many medical practices is frequently questionable, methodologically flawed, or entirely lacking.
  • Physicians demonstrate significant deficits in evaluating research literature and integrating probability data, resulting in substantial variations in clinical practice patterns.

Cite This Study

Roper et al. (1988) studied this question.

synapsesocial.com/papers/6a1032049e54838161fde6b5https://doi.org/10.1056/nejm198811033191805
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