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In Search of Evidence

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Chapter 10<br />

Are appraisal tools<br />

developed in medicine<br />

applicable to<br />

management?<br />

- Levels <strong>of</strong> evidence ✓<br />

- Frameworks and<br />

checklists ✓<br />

Are the two domains<br />

comparable?<br />

- Researchability ✓<br />

- Uniformity <strong>of</strong> practice ✓<br />

- Pr<strong>of</strong>essionalism ✗<br />

- Practice-knowledge gap ✓<br />

What can management<br />

learn from evidence-based<br />

medicine?<br />

- Accessibility <strong>of</strong><br />

evidence ✓<br />

- Uptake and<br />

dissemination ✓<br />

What is the current<br />

quality <strong>of</strong> the scientific<br />

evidence in<br />

management?<br />

- <strong>In</strong>ternal validity ✗<br />

- Generalizability ✓✗<br />

MAIN QUESTION<br />

Are the principles <strong>of</strong><br />

evidence-based<br />

medicine applicable<br />

to the field <strong>of</strong><br />

management?<br />

What is the added value<br />

<strong>of</strong> REAs for managers<br />

and organizations?<br />

- Practicality ✓<br />

- Yield ✓<br />

What are the basic<br />

principles <strong>of</strong> evidencebased<br />

management?<br />

- Critical appraisal ✓<br />

- Multiple sources ✓<br />

- Probabilities ✓<br />

Can you become an<br />

evidence-based manager?<br />

- Mindset ✓<br />

- Skills ✓<br />

What are managers’<br />

attitudes and perceived<br />

barriers to evidence-based<br />

management?<br />

- Attitudes ✓<br />

- Barriers ✗<br />

Some comments and final thoughts<br />

<strong>In</strong> chapter 2 it is argued that the present situation in management shows a<br />

striking number <strong>of</strong> similarities with the situation in medicine two decades ago. It is thus<br />

reasonable to expect that the initiatives that ensured the propagation <strong>of</strong> evidencebased<br />

practice in medicine will also make the difference in management. Some <strong>of</strong> the<br />

key drivers listed in this chapter are:<br />

• The development <strong>of</strong> courses on evidence- based practice<br />

• <strong>In</strong>tegration <strong>of</strong> the five-step approach <strong>of</strong> evidence-based practice into the medical<br />

curriculum<br />

• The publication <strong>of</strong> a handbook on how to practice and teach evidence-based<br />

medicine.<br />

• The introduction <strong>of</strong> the levels <strong>of</strong> evidence, which weigh evidence on the basis <strong>of</strong><br />

the internal validity <strong>of</strong> the research design,

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