265.018 Evidence-Based Medicine


Evidence-Based Medicine and Practice: The Texas Medical Association supports the use of science and well-designed, well-conducted clinical research as a foundation for good medical practice to improve the quality of patient care. Guidelines and protocols for medical care based on thorough reviews of current medical research can improve the consistency, timeliness, and efficiency of clinical care. National and international medical organizations as well as nursing and allied health continue to develop evidence-based guidelines and recommendations to improve patient care. At times, evidence is incomplete and involves expert opinion. However, popular, advertised trends are not identical to experts. The quality of the evidence to support guidance is graded on the strength of the data from which it is derived. Evidence-based guidelines are always supportive, not prescriptive, and should be adjudicated by the physician or provider with good medical judgment and experience in the best interest of the individual patient. TMA encourages continued medical research in areas where a gap in knowledge exists on which to base medical practice. TMA supports the use of evidence-based medicine to improve approval and payment for medical services where appropriate.

TMA strongly supports the standardization of a national set of evidence-based measures that are clinically meaningful and lead to performance improvement while improving both patient outcome and patient satisfaction such as those endorsed by the National Quality Forum.

Recognizing that evidence-based medicine is continually evolving, measures should be evaluated and subject to regular review (1) at intervals in accordance with professional standards, (2) whenever there is a significant change in scientific evidence, or (3) when results from testing arise that materially affect the integrity of the measure.

TMA supports the focus of the American Medical Association policy in its efforts to (1) work with state and local medical associations, specialty societies, and other medical organizations to educate the Centers for Medicare & Medicaid Services, state legislatures, third-party payers, and state Medicaid agencies about the appropriate uses of evidence-based medicine and the dangers of cost-based medicine practices; and (2) through the Council on Legislation, work with other medical associations to develop model state legislation to protect the patient-physician relationship from cost-based medicine policies inappropriately characterized as “evidence-based medicine.” 

TMA will oppose obstacles or penalties to the practice of evidence-based medicine including censure of licensure or criminal charges and calls for monitoring of local and state policy proposals that may allow for disruption to the patient-physician relationship and the practice of evidence-based care, especially in responding to vulnerable populations (CSA Rep. 3-A-08; amended CSPH Rep. 5-A-18; amended CSPH Rep. 2-A-19).

Last Updated On

June 11, 2019