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Logo of brjgenpracRCGP homepageJ R Coll Gen Pract at PubMed CentralBJGP at RCGPBJGP at RCGP
Br J Gen Pract. 2010 July 1; 60(576): 521–523.
PMCID: PMC2894382

Protecting generalism: moving on from evidence-based medicine?

Joanne Reeve, BClinSci, PhD, MPH, MRCGP, DipFPH, NIHR Clinician Scientist in Primary Care


Quality of decision making in modern health care is defined with reference to evidence-based medicine. There are concerns that this approach is insufficient for, and may thus threaten the future of, generalist primary care. We urgently need to extend our account of quality of knowledge use and decision making in order to protect and develop the discipline. Interpretive medicine describes an alternative framework for use in generalist care. Priorities for clinical practice and research are identified.

Keywords: evidence-based medicine, generalism, quality

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners