Why don’t physicians follow evidence-based guidelines more often?

Many researchers complain that physicians often use treatments with little evidence to base these decisions. From off-label prescribing, to unstudied surgical procedures, physicians are often painted as cavalier practitioners who don’t read studies. For instance, Austin Frakt at Incidental Economist writes: The British Medical Journal sifted through the evidence for thousands of medical treatments to assess…

CEA for EBP

How do you implement a cost effectiveness analysis (CEA) for the implementation of evidence-based practices (EBP)?  This is the topic Fortney et al. (2014) address.  They review four types of CEAs. Trial based CEA. Relies on traditional randomized controlled trials (RCT).   Because RCTs are expensive, they are typically run on a small sample of the…