Reconciling evidence‐based medicine and patient‐centred care: defining evidence‐based inputs to patient‐centred decisions

摘要: Evidence-based and patient-centred health care movements have each enhanced the discussion of how might best be delivered, yet two evolved separately and, in some views, remain at odds with other. No clear model has emerged to enable practitioners capitalize on advantages so actual practice often becomes, varying degrees, an undefined mishmash each. When faced clinical uncertainty, it becomes easy for rely formulas developed explicitly by expert panels, or tacit ones from experience habit. Either way, these tendencies towards 'cookbook' medicine undermine view patients as unique particulars, diminish what considered care. The sequence which evidence is applied process, however, critical developing a that both based patient centred. This notion derives paradigm knowledge delivery over decades Dr. Lawrence Weed. Weed's vision enables us evidence-based person-centred wholly complementary, using computer tools more fully reliably exploit vast body collective available define patients' uniqueness identify options guide patients. transparency approach facilitates meaningful practitioner-patient dialogue determining appropriate course action. Such essential integrating approaches.