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Better Doctors, Better Patients, Better DecisionsEnvisioning Health Care 2020$
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Gerd Gigerenzer and J.A. Muir Gray

Print publication date: 2011

Print ISBN-13: 9780262016032

Published to MIT Press Scholarship Online: May 2016

DOI: 10.7551/mitpress/9780262016032.001.0001

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PRINTED FROM MIT PRESS SCHOLARSHIP ONLINE (www.mitpress.universitypressscholarship.com). (c) Copyright The MIT Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in MITSO for personal use.date: 25 May 2022

How Can Better Evidence Be Delivered?

How Can Better Evidence Be Delivered?

(p.215) 13 How Can Better Evidence Be Delivered?
Better Doctors, Better Patients, Better Decisions

Norbert Donner-Banzhoff

Hilda Bastian

Angela Coulter

Glyn Elwyn

Günther Jonitz

David Klemperer

Wolf-Dieter Ludwig

The MIT Press

Bias impacts all aspects of research: from the questions formulated in the study design to the dissemination of results and perceptions by different target groups. The implementation of evidence is not a simple, unidirectional pipeline, nor do target groups operate in a vacuum, eagerly waiting for any information. Recommendations are made to improve the evidence base and message design through (a) public funding of clinical trials, (b) development and reinforcement of information standards, (c) improvements in the delivery of information in continuing medical education, (d) support and development of information sources independent of commercial interests, (e) helping clinicians communicate uncertainty to their patients. Recommendations are also made to correct and/or avoid imbalances in the delivery of health information. Powerful stakeholders can influence the production of evidence (research) as well as its dissemination. In most countries this poses a greater threat to pluralism than the suppression of individual opinions. The interplay between private sources (industry), voluntary and academic organizations, and a broad range of media and government regulation is necessary for a balanced expression and promotion of information. To ensure this, public regulation and intervention may be needed.

Keywords:   Strüngmann Forum Reports, health care regulation, information overload, media literacy, medical education, patient feedback, research bias, uncertainty

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