Is there a tension between doctors' duty of care and evidence-based medicine?

Wendy A. Rogers*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


The interaction between evidence-based medicine and doctors' duty of care to patients is complex. One the one hand, there is surely an obligation to take account of the best available evidence when offering health care to patients. On the other hand, it is equally important to be aware of important shortcomings in the processes and practices of evidence-based medicine. There are tensions between the population focus of evidence-based medicine and the duties that doctors have to individual patients. Implementing evidence-based medicine may have unpredictable consequences upon the overall quality of health care. Patients may have a range of reasons for preferring one form of treatment over another, not all of which are captured by current formulations of evidence. This paper examines these issues, using relevant examples from evidence-based medicine.

Original languageEnglish
Pages (from-to)277-287
Number of pages11
JournalHealth Care Analysis
Issue number3
Publication statusPublished - 2002
Externally publishedYes


  • Duty of care
  • Ethics
  • Evidence-based medicine
  • Patient preferences


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