Evidence Based Medicine, Support for Clinical Decision

Abstract

Making Decision is a complex process based on solid and valid results of scientific activities. As regards the clinical decision, it can be mentioned that it results from the junction of three components, derived from the concepts of Opinion Based Medicine, Evidence Based Medicine and patient-physician participative relationship. It requires three basic ingredients for making clinical decision: clinical skills (vary directly with the level of experience); strong and valid scientific evidence; patient preferences. Regardless of the approach or strategy chosen, the experience of the clinician to use certain tools provided by MBD or a particular approach will decide the choice of best practice, ultimately. The capacity to adapt the best evidence in a given context seems to be essential for putting the evidence into practice. Key words: evidence based medicine, levels of evidence, clinical decision Evidence-based medicine can provide the necessary quality evidence that is needed particularly to the physician for solving a medical case, and act to complement the physician knowledge and experience and to provide informed choice of the best practices of the time respectively.