• Ann Pharmacother · May 2008

    Review

    Challenges to evidence-based prescribing in clinical practice.

    • Muhammad Mamdani, Andrew Ching, Brian Golden, Magda Melo, and Ulrich Menzefricke.
    • Applied Health Research Centre, Keenan Research Centre, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, Ontario, Canada.
    • Ann Pharmacother. 2008 May 1; 42 (5): 704-7.

    AbstractAlthough there appears to be widespread support of evidence-based medicine as a basis for rational prescribing, the challenges to it are significant and often justified. A multitude of factors other than evidence drive clinical decision-making, including patient preferences and social circumstances, presence of disease-drug and drug-drug interactions, clinical experience, competing demands from more pressing clinical conditions, marketing and promotional activity, and system-level drug policies.

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