As a matter of fact: evidence‐based decision‐making unplugged

The rationale of evidence-based decision-making is to inform the decision-making process with information relevant to the decisions being taken. In this paper the models of research and analytical approaches used to generate the evidence are shown to be generally not 'decision-informing'. The researcher's interest in health care interventions has led to the development and use of designs which strip the research of contextual issues and hence …