Evidence-based medicine: A non-starter in India?

Introduction: All patients have a right to the best treatment for the ailment that they suffer from, and the best treatment usually would be evidence based medicine (EBM). Practice of EBM: This is formulated considering the physician's personal experience, that of the peers and the patients...

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Main Authors: Ravindra Bhaskar Ghooi, Shailesh Deshpande
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Health Sciences and Biomedical Research KLEU
Subjects:
Online Access:http://www.ijournalhs.org/article.asp?issn=2542-6214;year=2016;volume=9;issue=1;spage=121;epage=126;aulast=Ghooi
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author Ravindra Bhaskar Ghooi
Shailesh Deshpande
author_facet Ravindra Bhaskar Ghooi
Shailesh Deshpande
author_sort Ravindra Bhaskar Ghooi
collection DOAJ
description Introduction: All patients have a right to the best treatment for the ailment that they suffer from, and the best treatment usually would be evidence based medicine (EBM). Practice of EBM: This is formulated considering the physician's personal experience, that of the peers and the patients' expectations. In our country EBM is conspicuous in its absence due to poor maintenance of patients' records, poor access to journals and non-involvement of patients in therapeutic decisions. Physicians in private practice are generally not trained to evaluate external experience, whatever is available. Badly designed diagnostic approach and poor quality of information on which therapeutic decisions are based add to factors that prevent the implementation of EBM. Conclusions: In certain conditions patient centred medicine may be superior to EBM. However, patient centred medicine for special situations can only be a reality after EBM has been made the norm for commonly encountered diseases.
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spelling doaj.art-c1a06eb528254e589074a96cfa63cbfe2022-12-22T01:14:23ZengWolters Kluwer Medknow PublicationsIndian Journal of Health Sciences and Biomedical Research KLEU2542-62142542-62222016-01-019112112610.4103/2349-5006.183697Evidence-based medicine: A non-starter in India?Ravindra Bhaskar GhooiShailesh DeshpandeIntroduction: All patients have a right to the best treatment for the ailment that they suffer from, and the best treatment usually would be evidence based medicine (EBM). Practice of EBM: This is formulated considering the physician's personal experience, that of the peers and the patients' expectations. In our country EBM is conspicuous in its absence due to poor maintenance of patients' records, poor access to journals and non-involvement of patients in therapeutic decisions. Physicians in private practice are generally not trained to evaluate external experience, whatever is available. Badly designed diagnostic approach and poor quality of information on which therapeutic decisions are based add to factors that prevent the implementation of EBM. Conclusions: In certain conditions patient centred medicine may be superior to EBM. However, patient centred medicine for special situations can only be a reality after EBM has been made the norm for commonly encountered diseases.http://www.ijournalhs.org/article.asp?issn=2542-6214;year=2016;volume=9;issue=1;spage=121;epage=126;aulast=GhooiEvidence-based medicinestandard treatment guidelinesstandardstherapeutics
spellingShingle Ravindra Bhaskar Ghooi
Shailesh Deshpande
Evidence-based medicine: A non-starter in India?
Indian Journal of Health Sciences and Biomedical Research KLEU
Evidence-based medicine
standard treatment guidelines
standards
therapeutics
title Evidence-based medicine: A non-starter in India?
title_full Evidence-based medicine: A non-starter in India?
title_fullStr Evidence-based medicine: A non-starter in India?
title_full_unstemmed Evidence-based medicine: A non-starter in India?
title_short Evidence-based medicine: A non-starter in India?
title_sort evidence based medicine a non starter in india
topic Evidence-based medicine
standard treatment guidelines
standards
therapeutics
url http://www.ijournalhs.org/article.asp?issn=2542-6214;year=2016;volume=9;issue=1;spage=121;epage=126;aulast=Ghooi
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