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But enthusiasm has been mixed with some negative reaction. Criticism has ranged from evidence based medicine being old hat to it being a dangerous innovation, perpetrated by the arrogant to serve cost cutters and suppress clinical freedom. As evidence based medicine continues to evolve and adapt, now is a useful time to refine the discussion of what it is and what it is not. Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.
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This is done in a manner that is compatible with the environmental and organizational context. Evidence is research findings derived from the systematic collection of data through observation and experiment and the formulation of questions and testing of hypotheses”.
In recent years, EBP has been stressed by professional organizations such as the American Psychological Association, the American Occupational Therapy Association, the American Nurses Association, and the American Physical Therapy Association, which have also strongly recommended their members to carry out investigations to provide evidence supporting or rejecting the use of specific interventions. Equivalent recommendations apply to the Canadian equivalent of these associations.