Covid-19: Exposing the Lack of Evidence-Based Practice in Medicine
- PMID: 32596912
- PMCID: PMC7362069
- DOI: 10.1002/hast.1144
Covid-19: Exposing the Lack of Evidence-Based Practice in Medicine
Abstract
The Covid-19 pandemic has altered the shape of medicine, making in-person interactions risky for both patients and health care workers. Now, before scheduling in-person appointments or procedures, physicians are forced to reconsider if they are truly necessary. The pandemic has thus thrown into relief the difference between evidence-based medical care and traditional aspects of care that lack a strong evidentiary component. In this essay, we demonstrate how this has played out in prenatal care, as well as in other aspects of medical care, during the pandemic. The extent to which these changes will persist beyond the most emergent phases of the pandemic is not clear, though insurance reimbursement practices and patient expectations will be determining factors. One thing, however, is certain: the longer the pandemic continues, the more difficult it will be for providers and patients to return to pre-Covid norms.
Keywords: Covid-19; evidence-based medicine; health policy; prenatal care; telemedicine.
© 2020 The Hastings Center.
References
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- American Academy of Pediatrics Committee on Fetus and Newborn and American College of Obstetricians and Gynecologists Committee on Obstetric Practice , Guidelines for Perinatal Care, 8th ed., ed. S. J. Kilpatrick and L. Papile (Elk Grove Village, IL: American Academy of Pediatrics, 2017).
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