Shifting from Theoretical Best Evidence to Practical Best Evidence: an Approach to Overcome Structural Conservatism of Evidence-Based Medicine and Health Policy
Pfaff, H.; Schmitt, J. · Das Gesundheitswesen · 2024 · Heft S 04 · S. S239 bis S250
Bibliografische Angaben
Zusammenfassung
There is disparity in the healthcare sector between the extent of innovation in medical products (e. g. , drugs) and healthcare structures. The reason is not a lack of ideas, concepts, or (quasi-) experimental studies on structural innovations. Instead, we argue that the slow implementation of structural innovations has created this disparity partly because evidence-based medicine (EBM) instruments are well suited to evaluate product innovations but less suited to evaluate structural innovations. This article argues that the unintentional interplay between EBM, which has changed significantly over time to become…