Evidence‐based medicine

Ash Samanta (University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester, UK)
Jo Samanta (De Montfort University, Leicester, UK)

Clinical Governance: An International Journal

ISSN: 1477-7274

Publication date: 1 December 2005



The purpose of this article is to provide a viewpoint on a controversial aspect of evidence‐based medicine (EBM) and its application to clinical decision making and healthcare policy. To draw attention to the potential for using EBM as a rationalising tool, as opposed to rationalising treatment options, and to discuss how legitimacy in the decision‐making process may be secured.


A range of academic commentary and case law is reviewed. A model for the legitimacy of due process is suggested through the application of the framework for the “accountability for reasonableness”.


Provides information about sources indicating their relevance and where they can be found. Emphasises that NHS organisations and trusts need to enhance the legitimacy of due process through clinical governance.

Research limitations/implications

Presents a viewpoint designed to stimulate debate, which is based on a critical evaluation of the literature as well as contemporary quality initiative issues in the context of clinical governance.

Practical implications

A useful source of guidance for NHS Trust decision makers, healthcare practitioners and those involved with patient support initiatives.


This paper provides an original viewpoint on a topical and important issue and develops the concept of legitimacy and decision making that is delivered by the application of legal principles through clinical governance.



Samanta, A. and Samanta, J. (2005), "Evidence‐based medicine", Clinical Governance: An International Journal, Vol. 10 No. 4, pp. 308-313. https://doi.org/10.1108/14777270510629372

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Copyright © 2005, Emerald Group Publishing Limited

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