Annette Mollet, Nastazja Laskowski, Thomas Szucs
Postgraduate education and training in drug development sciences: 30 years of the european center of pharmaceutical medicine
Frontiers in pharmacology
health provision systems developed western nations currently facing major financial challenges order meet challenges number new approaches used assist provision health introduced including practice health professionals approaches utilize specific methods data capture summarization evidence based medicine ebm practice guidelines evidence generated systematic clinical research well reported clinical experience individually case based empirical evidence types research though quantitative qualitative limitations similarly types evidence advantages disadvantages complimentary evidencebased individual decision ebid making commonest evidencebased medicine practiced individual clinician making decisions care individual patient involves integrating individual clinical expertise best available external clinical evidence systematic research however sort evidencebased medicine focuses excessively individual potentially expense others system limited budgets evidencebased guidelines ebg also support practice evidencebased medicine organizational institutional level main aim identify interventions range patients work best costeffective order guide service development provision strategic level effectively scientific statistical skill quality guidelines based primarily quality research evidence important note lack systematic evidence support intervention automatically mean intervention must instantly abandoned also important guidelines understood ie rules complete statements knowledge ebm never enough suitable evidence every aspects health provision every locality innovation signifies substantial positive change compared gradual incremental changes innovation using inductive reasoning play major role within health care system applicable three level service provision clinical practice policy organisation structure aim paper examine critically concepts complimentary role supporting provision health care systems suitable requirements population affordable deliverable flexible adaptable social changes