News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search


GPs cautioned on using evidence-based medicine in isolation

2 September 2011

GPs cautioned on using evidence-based medicine in isolation

GPs received a cautionary message today of the importance of not relying on evidence-based medicine in isolation.

In two keynote addresses at the 2011 Conference for General Practice being held in Auckland, doctors were cautioned that evidence-based medicine used on its own has its failings.

Professor Trisha Greenhalgh, Director of the Healthcare Innovation and Policy Unit at Barts and the London School of Medicine and Dentistry gave a keynote address by video link and urged GPs to more strongly consider the ‘patient narrative’ in making their diagnosis and prescribing decisions.

She said too often the patient experience was downgraded to anecdotal, and evidence-based medicine put above it in determining the best course of treatment. Diagnosis and treatment decisions needed to be made using both.

Professor David Healy, a Professor of Psychiatry at Cardiff University, also urged doctors not to rely on evidence-based medicine in isolation.

He said a lot of the research around pharmaceuticals is not from independent sources, and often only those drug trials with positive outcomes are presented.

Both said that while evidence-based medicine certainly had an important place in doctor decision-making, it should not be the only tool used. They urged that practical wisdom, reflective practice, the patient experience and independent research should all be in the mix.

The 2011 Conference for General Practice is a joint conference being held in Auckland over the next three days. It has been organised by the Royal New Zealand College of General Practitioners and General Practice New Zealand.


© Scoop Media

Culture Headlines | Health Headlines | Education Headlines


Howard Davis: Emerald Fennell's Promising Young Woman'

The Guardian needed not one, but three reviews to do justice to Fennell's unsettling approach, which indicates exactly how ambiguous and controversial its message really is. More>>

Howard Davis: Jill Trevelyan's Rita Angus

Although Angus has become one of Aotearoa’s best-loved painters, the story of her life remained little known and poorly understood before Jill Trevelyan's acclaimed and revelatory biography, which won the Non Fiction Award at the Montana New Zealand Book Awards in 2009, and has now been republished by Te Papa press. More>>

Howard Davis: The Back of the Painting

Painting conservators are the forensic pathologists of the art world. While they cannot bring their subjects back to life, they do provide fascinating insights into the precise circumstances of a painting's creation, its material authenticity, and constructive methodology. More>>

Howard Davis: Black Panthers on the Prowl

A passionate and gripping political drama from Shaka King, this is an informative and instructive tale of human frailty that centers around the charismatic Chicago Black Panther leader Fred Hampton, who was murdered at the age of twenty-one during a police raid. More>>

Howard Davis: Controlling the High Ground

Stephen Johnson's raw and angry film not only poses important questions with scrupulous authenticity, but also provides a timely reminder of the genocidal consequences of casual bigotry and xenophobia. More>>

Howard Davis: Dryzabone - Robert Conolly's The Dry

After the terrible devastation caused by last year’s bushfires, which prompted hundreds of Australians to shelter in the ocean to escape incineration and destroyed uncountable amounts of wildlife, The Dry has been released during a totally different kind of dry spell. More>>

Howard Davis: Hit the Road, Jack - Chloé Zhao's Nomadland

Nomadland is perhaps the ultimately 'road' movie as it follows a group of dispossessed and disenfranchised vagabonds who find a form of communal refuge in camp sites and trailer parks after the economic contraction of 2008. More>>



  • Wellington
  • Christchurch
  • Auckland