ArticleQuality in health care : QHC1999
Some limits to evidence-based medicine: a case study from elective orthopaedics.
Article in Quality in health care : QHC, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- What influences UK-practising consultant hip surgeons' decision-making about implant fixation? An interview study.BMJ open · 2026Article
- Lower nationwide rates of arthroscopic procedures in 2016 compared with 1997 (634925 total arthroscopic procedures): has the tide turned?British journal of sports medicine · 2021Article
- The role of anterolateral augmentation in primary ACL reconstruction.Journal of clinical orthopaedics and trauma · 2020Review
- Context, complexity and process in the implementation of evidence-based innovation: a realist informed review.BMC health services research · 2020Review
- The role of scientific evidence in decisions to adopt complex innovations in cancer care settings: a multiple case study in Nova Scotia, Canada.Implementation science : IS · 2019Article
- Adopting patient-centred tools in cancer care: role of evidence and other factors.Current oncology (Toronto, Ont.) · 2019Article
- How are evidence and knowledge used in orthopaedic decision-making? Three comparative case studies of different approaches to implementation of clinical guidance in practice.Implementation science : IS · 2018Article
- The barriers and facilitators to the implementation of clinical guidance in elective orthopaedic surgery: a qualitative study protocol.Implementation science : IS · 2015Article
- Declining incidence of acromioplasty in Finland.Acta orthopaedica · 2015Article
- Cross-disciplinary research in cancer: an opportunity to narrow the knowledge-practice gap.Current oncology (Toronto, Ont.) · 2013Article
- The NIHR Collaborations for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester: combining empirical, theoretical and experiential evidence to design and evaluate a large-scale implementation strategy.Implementation science : IS · 2011Article
- Evidence-based medicine.Indian journal of orthopaedics · 2007Article
- Methods for evaluation of small scale quality improvement projects.Quality & safety in health care · 2003Article
- Reactions to the use of evidence-based performance indicators in primary care: a qualitative study.Quality in health care : QHC · 2000Article
- Consumer and professional standards: working towards consensus.Quality in health care : QHC · 2000Article
- Changing clinical practice: views about the management of adult asthma.Quality in health care : QHC · 1999Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
There has been growing interest in recent years in the application of the principles of evidence-based medicine (EBM), although implementation is complex. Scientific, organisational, and behavioural factors all combine to shape clinical behaviour change. Case study based qualitative data are presented which illuminate such processes within one clinical setting (elective orthopaedics), drawn from a larger study. It is suggested that (1) there are alternative models of what constitutes "evidence" in use; (2) scientific knowledge is in part socially constructed; and (3) clinical professionals retain a monopoly of technical knowledge. The implication is that there may be severe obstacles to the rapid or broad implementation of EBM.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.