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From a policy standpoint, I have been in lots of discussions on whether/when/how to incentivize or require physicians to use EBM to help improve patient care while also controlling state spending on medical services.
Practitioners often strongly resist being asked to follow standard protocols arguing that these do not apply to their patients/situations, are inconsistent with their experiences, etc. So, to promote change in practice, the incentives and encouragement must be done in a way that are not threatening or judgemental and do not jeopardize practitioner's perception of autonomy and professionalism. Tall order.
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I would not have anyone adopt my mode of living...but I would have each one be very careful to find out and pursue his own way, and not his father's or his mother's or his neighbor's instead. Thoreau, Walden
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