Evidence-based medicine in practice: Limiting or facilitating patient choice?

Wendy A. Rogers*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

39 Citations (Scopus)


Facilitating patient choice is an important element in respecting the autonomy of patients. Evidence-based medicine has the potential to contribute to this process by the provision of high quality research-based information, for use by patients and clinicians. In this paper, I analyse the processes of evidence-based medicine in order to identify the ways in which patient choice is affected by decisions made in the development and use of evidence-based guidelines. I argue that despite the potential contribution, the current methods and techniques of guideline production limit rather than facilitate patient choice.

Original languageEnglish
Pages (from-to)95-103
Number of pages9
JournalHealth Expectations
Issue number2
Publication statusPublished - 2002
Externally publishedYes


  • Ethics
  • Evidence-based medicine
  • Guidelines
  • Patient choice


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