Barriers to Using Evidence Based Medicin

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Barriers to Using Evidence-Based Medicine
Melanie Ossman
Granite State College
Professor Philip Wyzik
HLTC 600
March 4, 2011

The Institute of Medicine recommends the use of evidence-based medicine as a primary tool for achieving the aims outlined by their six themes of improvement. Specifically, EBM relates to their aim to make health care more effective: “to provide health care that is effective and efficient.” (Institute of Medicine, 2001) In recent years, evidence-based medicine has gained increasingly broad-based support in health care, but many doctors still aren’t using it. With a lean towards Pharmacy management, I researched the barriers providers and institutions are faced with in successfully incorporating evidence-based medicine and how initiating organizational improvements can help. The research highlights some important considerations to be aware of that gives evidence-based medicine a bad name, the pitfalls to avoid, and some ways providers and institutions are working to overcome them.

This paper begins by giving an overview of evidence-based medicine, what it is, and the benefits to be realized by providers, insurers, and patients. I compared that to what providers were using before EBM. Next, I examine the barriers to successfully incorporating evidence-based medicine, and the negative perceptions that dissuade their use by clinicians. Identified are the disadvantages such as source information bias, ethics considerations, and the dangers in using EBM to set Clinical Practice Guidelines (CPG).
The research highlights some important considerations to be aware of that gives evidence-based medicine a bad name. I looked at pitfalls to avoid and some ways providers and institutions are working to overcome them. Finally, I included an overview, from a pharmacy management perspective, of how improvements techniques…...

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