The problem of evidence-based medicine: directions for social science

‘As a clinician, you are not managing lab results, you are managing the patient’: How the enactment of malaria at health facilities in Cameroon compares with new WHO guidelines for the use of malaria tests

“…Emerging within the medical profession in Northern countries, EBM has been observed to have shifted notions of 'evidence' from clinical reason, based on experience of what worked, and rooted in pathophysiology together with social and cultural knowledge of the individual patient, to probabilistic rationality based on the results of clinical trials (Armstrong, 2002;Mykhalovskiy & Weir, 2004). In this paper, we analyse how malaria and its treatment are enacted by health workers and consider how this relates to emergent evidence based guidelines.…”

In search of results: anthropological interrogations of evidence-based global health

“…This model reinforces the use of objective evidence, which has marginalized other forms produced from individual experiences. This bias toward quantifiable results serves as a marker of effectiveness and redefines the boundaries of what gets counted (Mykhalovskiy & Weir, 2004). As our papers foreground, decisions in global health are also now largely driven by the politics of knowledge production and claims to authority over knowledge.…”

“…First introduced by a group of scholars at McMaster University (Lambert, 2006;Mykhalovskiy & Weir, 2004), EBM ascended in its claim to medical authority on the strength of statistical evidence used to inform decisions around the best available treatment (De Vries & Lemmens, 2006). It is an approach that promised to create standards across all phases of the 'production, distribution, and consumption of evidence' (Ecks, 2008, p. S81) grounded in 'legitimate' forms of statistical results.…”

The roles of specialisation and evidence-based practice in inter-professional jurisdictions: A qualitative study of stroke services in England, Sweden and Poland

“…There is a paucity of studies of the inter-professional perspectives of evidence-based practice (EBP) (Mykhalovskiy and Weir, 2004), the lived experiences of different clinical professionals working in specific clinical specialities of EBP (Broom et al 2009) and no comparative European studies that can shed light on the impact of different national health system contexts. This research examined different healthcare professionals' perspectives of EBP and how this influenced their professional jurisdiction.…”