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Narrative based medicine: narrative based medicine in an evidence based world

Greenhalgh, T.; (1999) Narrative based medicine: narrative based medicine in an evidence based world. BMJ , 318 (7179) pp.323 - 325. Green open access

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Abstract

Summary points: Even "evidence based" clinicians uphold the importance of clinical expertise and judgment. Clinical method is an interpretive act which draws on narrative skills to integrate the overlapping stories told by patients, clinicians, and test results. The art of selecting the most appropriate medical maxim for a particular clinical decision is acquired largely through the accumulation of "case expertise" (the stories or "illness scripts" of patients and clinical anecdotes).The dissonance we experience when trying to apply research findings to the clinical encounter often occurs when we abandon the narrative interpretive paradigm and try to get by on "evidence" alone.

Type: Article
Title: Narrative based medicine: narrative based medicine in an evidence based world
Open access status: An open access version is available from UCL Discovery
Publisher version: http://bmj.bmjjournals.com/cgi/reprint/318/7179/32...
Language: English
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/2015
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